Organization Active NPI

Kathleen E. Huggins

Doing business as Simply Mama

  • Nursing Facility Supplies (DME)
  • San Luis Obispo, CA
National Provider Identifier
1316126931
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility Supplies (DME)Taxonomy code 332BN1400X
Legal business name
KATHLEEN E. HUGGINS
Doing business as
Simply Mama
Practice address
2705 McMillan Ave
Suite 130
San Luis Obispo, CA 93401-4741
Phone
(805) 541-1463
Fax
(805) 541-1469
NPI assigned
Oct 31, 2007
Last updated
Aug 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Authorized official

Name
Kathleen E Huggins, RNNPI 1467791095
Title
Owner
Phone
(805) 550-9120

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
Nursing Facility Supplies (DME) 332BN1400X NU Primary

Addresses

Primary practice location

2705 McMillan Ave
Suite 130
San Luis Obispo, CA 93401-4741

Mailing address

2705 McMillan Ave
Suite 130
San Luis Obispo, CA 93401-4741
Phone (805) 541-1463

Other identifiers 1

IdentifierTypeStateIssuer
DME01775GOtherMEDICAL

Other names 1

  • Simply Mama Doing business as

National Provider Directory

National Provider Directory

Locations

2705 McMillan Ave
Ste 130
San Luis Obispo, CA 93401
Phone (805) 541-1463

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1316126931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 MCMILLAN AVE",
            "address_2": "SUITE 130",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014741",
            "telephone_number": "805-541-1463",
            "fax_number": "805-541-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 MCMILLAN AVE",
            "address_2": "SUITE 130",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014741",
            "telephone_number": "805-541-1463",
            "fax_number": "805-541-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN E. HUGGINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "HUGGINS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-550-9120",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "DME01775G",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simply Mama",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.