Katie Huckaby

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9490444 Issued in FL

Practice address

4164 W County Highway 30a
Santa Rosa Beach, FL 32459-4336

Phone

(850) 622-2313

Fax

(850) 622-2718

NPI assigned

Jul 30, 2014

Last updated

Jan 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atwood and Clark Associates, LLC

  dba Midway Medical Clinic II

  • General Practice Physician
  • Panama City, FL
  • NPI 1285038117
  Medicare reassignment NPD
• 30A Medical Incorporated

  • Family Medicine Physician
  • Santa Rosa Beach, FL
  • NPI 1851762991
  NPD
• T3 Solutions Incorporated

  dba 30-A Chiropractic

  • Chiropractor
  • Santa Rosa Beach, FL
  • NPI 1396022794
  NPD (past)

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1245648542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MARINER WAY",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325506931",
            "telephone_number": "270-779-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4164 W COUNTY HIGHWAY 30A",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324594336",
            "telephone_number": "850-622-2313",
            "fax_number": "850-622-2718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5796 Nashville Rd",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421017546",
            "country_code": "US",
            "telephone_number": "270-781-6477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUCKABY",
        "first_name": "KATIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-30",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008797",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9490444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Brett Holland, PT, DPT, CSCS
• Derrick W Hood
• Michelle Darlene Hooker, REGISTERED NURSE
• Hannah Hooten, NP-C
• Niel Hora
• Carolyn Elizabeth Hulse, LMHC
• Dara Lynn Humphries, DNP, ARPN, FNP-BC
• Robert L Ignasiak Jr., MD
• Imaging Institute LLC
• Inchargeclinic

• Family Nurse Practitioner in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.