Stacie Jo Huff, CRNP, PMHS

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

NP07419 Issued in OH

Practice address

919 2ND St NE
Canton, OH 44704-1132

Phone

(330) 453-3386

Fax

(330) 453-2362

NPI assigned

May 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: shuff@6fa17bdb.micromddirect.com

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

• Margaret B Shaley Child Health Clinic Inc

  • Pediatrics Physician
  • Canton, OH
  • NPI 1215021126
  NPD (past)
• Michael Barat MD Inc.

  • Specialist
  • Massillon, OH
  • NPI 1164659660
  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1285681502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 2ND ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447041132",
            "telephone_number": "330-453-3386",
            "fax_number": "330-453-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 2ND ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447041132",
            "telephone_number": "330-453-3386",
            "fax_number": "330-453-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFF",
        "first_name": "STACIE",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "CRNP, PMHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "NP07419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2437652",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark J. Hudak, M.D.
• Hudec Dental Center of Canton, Inc. (Hudec Dental)
• Charnae Hudson, LPN
• Terri Hudson
• Kristy Huff
• Anne Marie Huggett
• Amy C Hughes, CNP
• Mark Hughes, PA-C
• Seth A Hughes
• Sherry Hughes, LPN

• Pediatric Nurse Practitioner in Canton, OH
• Providers in Canton, OH by specialty
• Pediatric Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.