Active NPI
Jeri L Hucke, RN
- Registered Nurse
- Washington, GA
National Provider Identifier
1124100573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN123108
- Practice address
- 204 Gordon St
Washington, GA 30673-1604 - Phone
- (706) 678-2622
- Fax
- (706) 678-3115
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN123108 | GA | Primary |
Addresses
Primary practice location
204 Gordon St
Washington, GA 30673-1604
Mailing address
204 Gordon St
Washington, GA 30673-1604
Phone (706) 678-2622
Other names 1
- Mr. Jeri L Hucke
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN123108 | GA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilkes County Board of Health | Past | Accepting new patients | |
| Wilkes County Board of Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Washington, GA
- NPI 1336190958
-
- Public Health or Welfare Agency
- Washington, GA
- NPI 1912636036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124100573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 GORDON ST",
"city": "WASHINGTON",
"state": "GA",
"postal_code": "306731604",
"telephone_number": "706-678-2622",
"fax_number": "706-678-3115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 GORDON ST",
"city": "WASHINGTON",
"state": "GA",
"postal_code": "306731604",
"telephone_number": "706-678-2622",
"fax_number": "706-678-3115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUCKE",
"first_name": "JERI",
"middle_name": "L",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN123108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JERI",
"last_name": "HUCKE",
"middle_name": "L",
"prefix": "MR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Washington, GA
- Benjamin Seth Hodges, CRNA
- Bruce E Holes, D.M.D.
- Hospital Authority of Wilkes County
- Hospital Authority of Wilkes County
- Hospital Authority of Wilkes County
- Hulin Transportation, Inc.
- Internal Medicine & Nephrology Associates,PC
- Jennifer W Jackson, APRN, FNP-C
- Johnson Transporation
- Lester T Johnston Jr., M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.