Individual provider Active NPI

Mary Louise Huggar, COSMETOLOGY LICENSE

  • Specialist
  • Minneapolis, MN
National Provider Identifier
1285870378
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
CS20512052 Issued in MN
Practice address
2139 44TH Ave N
Minneapolis, MN 55412-1162
Phone
(612) 521-5275
Fax
(612) 353-6706
NPI assigned
Dec 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X
Specialist 174400000X CS20512052 MN Primary

Addresses

Primary practice location

2139 44TH Ave N
Minneapolis, MN 55412-1162

Mailing address

2139 44TH Ave N
Minneapolis, MN 55412-1162
Phone (612) 521-5275

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
CS20512052MNMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1285870378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 44TH AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121162",
            "telephone_number": "612-521-5275",
            "fax_number": "612-353-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 44TH AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121162",
            "telephone_number": "612-521-5275",
            "fax_number": "612-353-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGGAR",
        "first_name": "MARY",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "COSMETOLOGY LICENSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-19",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "CS20512052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.