Organization Active NPI

Huddleston Health LLC

  • Primary Care Clinic/Center
  • Poteau, OK
National Provider Identifier
1275239675
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HUDDLESTON HEALTH LLC
Practice address
508 N Broadway St
Poteau, OK 74953-3536
Phone
(918) 721-0290
Fax
(918) 564-2406
NPI assigned
Feb 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Authorized official

Name
Krystel HuddlestonNPI 1700361490
Title
Nurse Practitioner
Phone
(918) 721-0290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

508 N Broadway St
Poteau, OK 74953-3536

Mailing address

210 Oak St # 255
Poteau, OK 74953-2339
Phone (870) 784-0142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230308003127 OK Part B Supplier - Clinic/Group Practice 6709259955 Receives reassigned benefits from 1 practitioner
Practice locations: Poteau, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2309488Huddleston Health LLC508 N Broadway St, Poteau, OK 74953Certificate of waiverAug 14, 2026

National Provider Directory

National Provider Directory

Locations

508 N Broadway St
Poteau, OK 74953
Phone (918) 721-0290

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1275239675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 OAK ST # 255",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749532339",
            "telephone_number": "870-784-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N BROADWAY ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749533536",
            "telephone_number": "918-721-0290",
            "fax_number": "918-564-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDDLESTON HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "HUDDLESTON",
        "authorized_official_first_name": "KRYSTEL",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "918-721-0290"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poteau, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.