NPIMap

Individual provider Active NPI

Fawna Sunshine Huffman, NP-C

  • Nurse Practitioner
  • Moscow, ID
National Provider Identifier
1356680862
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP-1245A Issued in ID
Practice address
803 S Main St Ste 320
Moscow, ID 83843-3574
Phone
(208) 883-1846
Fax
(208) 892-1116
NPI assigned
Feb 4, 2013
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP-1245A ID Primary

Addresses

Primary practice location

803 S Main St Ste 320
Moscow, ID 83843-3574

Mailing address

PO Box 8007
Moscow, ID 83843-0507
Phone (208) 882-4511

Other practice location 1

2301 W A St
Moscow, ID 83843-4042
Phone (208) 883-1135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130313000019 ID Practitioner - Nurse Practitioner 6305091653 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gritman Medical Center IncGroup PAC ID 4981984390, 19 clinicians

Practice addresses (Care Compare)

803 S Main St
Suite 320
Moscow, ID 83843-3574
Phone (208) 883-1846

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gritman Medical Center Inc Current Accepting new patients
Gritman Medical Center Inc CurrentSince Mar 1, 2022 Accepting new patients
Gritman Medical Center Inc CurrentSince Mar 1, 2022 Accepting new patients
Gritman Medical Center Inc. CurrentSince Mar 1, 2022 Accepting new patients
Gritman Medical Center Inc CurrentSince Mar 1, 2022 Accepting new patients
Gritman Medical Center, Inc. Past Accepting new patients
Gritman Medical Center Inc Past Accepting new patients
Gritman Medical Center Inc Past Accepting new patients

Locations

2301 W A St
Moscow, ID 83843
Phone (208) 883-1135

700 S Main St
Moscow, ID 83843
Phone (208) 746-7555

719 S Main St
Moscow, ID 83843
Phone (208) 848-8300

803 S Main St
Ste 320
Moscow, ID 83843
Phone (208) 883-1008

Organizations & group practices 9

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

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1356680862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8007",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838430507",
            "telephone_number": "208-882-4511",
            "fax_number": "208-883-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 S MAIN ST STE 320",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433574",
            "telephone_number": "208-883-1846",
            "fax_number": "208-892-1116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 W A St",
            "address_purpose": "LOCATION",
            "city": "Moscow",
            "state": "ID",
            "postal_code": "838434042",
            "country_code": "US",
            "telephone_number": "208-883-1135",
            "fax_number": "208-892-0174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "FAWNA",
        "middle_name": "SUNSHINE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP-1245A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, ID

Sources for this page

Verify at the official NPI Registry.