Jeanette Theresa Huddleston, R.N.

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

4704067890 Issued in MI

Practice address

20759 US-31S
Interlochen, MI 49643

Phone

(231) 275-7453

NPI assigned

Jun 4, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427250216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20759 US-31",
            "city": "INTERLOCHEN",
            "state": "MI",
            "postal_code": "49643",
            "telephone_number": "231-275-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20759 US-31S",
            "city": "INTERLOCHEN",
            "state": "MI",
            "postal_code": "49643",
            "telephone_number": "231-275-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDDLESTON",
        "first_name": "JEANETTE",
        "middle_name": "THERESA",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MI",
            "license": "4704067890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Lee Gray, RN
• Andrew J Gutzka
• Healthcare Coordinates LLC
• William Hendershot, DDS
• Roberta L Herbst, PA-C
• Interlochen Center for the Arts
• Aubrey Jabour
• Aubry Lyn Langlois
• Larry Wareck
• Debra E. Lewis, D.D.S.

• Home Health Registered Nurse in Interlochen, MI
• Providers in Interlochen, MI by specialty
• Home Health Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.