Active NPI
Huddleston Health LLC
- Primary Care Clinic/Center
- Poteau, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Krystel Huddleston
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2309488 | Huddleston Health LLC | Certificate of waiver | Aug 14, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Poteau, OK
- NPI 1700361490
-
- Family Nurse Practitioner
- Poteau, OK
- NPI 1639837099
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.