Individual provider Active NPI

Robin Darlene Huffman, R.N.

  • Registered Nurse
  • Syracuse, IN
National Provider Identifier
1164600755
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
28178099A Issued in IN
Practice address
12204 N Woodland Acres Dr
Syracuse, IN 46567-9152
Phone
(574) 457-6331
Fax
(516) 714-9396
NPI assigned
Feb 5, 2008
Last updated
Apr 2, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28178099A IN Primary

Addresses

Primary practice location

12204 N Woodland Acres Dr
Syracuse, IN 46567-9152

Mailing address

12204 N Woodland Acres Dr
Syracuse, IN 46567-9152
Phone (574) 457-6331

Other identifiers 1

IdentifierTypeStateIssuer
1164600755MedicaidIN

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

LicenseStateTypeSpecialty
28178099AINMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1164600755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12204 N WOODLAND ACRES DR",
            "city": "SYRACUSE",
            "state": "IN",
            "postal_code": "465679152",
            "telephone_number": "574-457-6331",
            "fax_number": "516-714-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12204 N WOODLAND ACRES DR",
            "city": "SYRACUSE",
            "state": "IN",
            "postal_code": "465679152",
            "telephone_number": "574-457-6331",
            "fax_number": "516-714-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "ROBIN",
        "middle_name": "DARLENE",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-05",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28178099A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164600755",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.