Individual provider Active NPI

Jessica Lee Huckins, RNFA

  • Registered Nurse First Assistant
  • Gillette, WY
National Provider Identifier
1215478136
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
23136 Issued in WY
Practice address
203 Huntington Dr
Gillette, WY 82718-5770
Phone
(307) 299-7006
NPI assigned
Mar 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 23136 WY Primary

Addresses

Primary practice location

203 Huntington Dr
Gillette, WY 82718-5770

Mailing address

203 Huntington Dr
Gillette, WY 82718-5770
Phone (307) 299-7006

Other practice location 1

1300 Lime Creek Ave
Gillette, WY 82716-2276
Phone (307) 299-7006

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

State licenses

LicenseStateTypeSpecialty
23136WYMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1215478136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 HUNTINGTON DR",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185770",
            "telephone_number": "307-299-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 HUNTINGTON DR",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185770",
            "telephone_number": "307-299-7006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Lime Creek Ave",
            "address_purpose": "LOCATION",
            "city": "Gillette",
            "state": "WY",
            "postal_code": "827162276",
            "country_code": "US",
            "telephone_number": "307-299-7006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUCKINS",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "WY",
            "license": "23136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.