Individual provider Active NPI

Donna H Huffstetler

  • Speech-Language Pathologist
  • Saint Augustine, FL
National Provider Identifier
1346592334
Registry record updated Oct 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA5642 Issued in FL
Practice address
1797 Old Moultrie Rd
109
Saint Augustine, FL 32084-4171
Phone
(904) 824-7772
NPI assigned
Oct 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA5642 FL Primary

Addresses

Primary practice location

1797 Old Moultrie Rd
109
Saint Augustine, FL 32084-4171

Mailing address

3950 Palm St
Saint Augustine, FL 32084-1579
Phone (904) 392-1949

Other names 1

  • Mrs. Donna H Huffstetler Other name

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
SA5642FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350777600000",
    "number": "1346592334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 PALM ST",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320841579",
            "telephone_number": "904-392-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 OLD MOULTRIE RD",
            "address_2": "109",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320844171",
            "telephone_number": "904-824-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFSTETLER",
        "first_name": "DONNA",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-15",
        "last_updated": "2012-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "HUFFSTETLER",
            "middle_name": "H",
            "prefix": "MRS.",
            "credential": "MS/CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.