Shamim Huda, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.012955 Issued in IL

Practice address

7657 W Ardmore Ave
Chicago, IL 60631-2207

Phone

(773) 791-6290

NPI assigned

Dec 28, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Arcc Home Care LLC

  • In Home Supportive Care Agency
  • Park Ridge, IL
  • NPI 1891310116
  NPD (past) Authorized official

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1386009934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7657 W ARDMORE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606312207",
            "telephone_number": "773-791-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7657 W ARDMORE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606312207",
            "telephone_number": "773-791-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDA",
        "first_name": "SHAMIM",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.012955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie Hubman, RN
• Bruce Huck, M.D.
• Kathryn Paula Huck
• Millie Huckabee, LCPC
• Gulzar Zahur Huda, PHARMD
• Leora Ann Hudak, MA, LCSW
• Huddle Behavioral Health Inc
• Huddleston Medical Services, S.C.
• Leon M Huddleston, M.D.
• Penny Huddleston, M.A.

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.