Andrea Lynn Huddleston, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

902277 Issued in MS

Practice address

3714 Highway 72 W
Corinth, MS 38834-8556

Phone

(662) 293-1575

Fax

(662) 293-1576

NPI assigned

Sep 6, 2017

Last updated

Sep 6, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in MS

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andreahuddleston@magnolia.medalliesdirect.net

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.

• Magnolia Physician Services, Inc

  • Internal Medicine Physician
  • Corinth, MS
  • NPI 1073827549
  Medicare reassignment NPD
• Magnolia Regional Health Center

  • General Acute Care Hospital
  • Corinth, MS
  • NPI 1699756445
  Medicare reassignment NPD
• Magnolia Ear Nose & Throat

  • Otolaryngology Physician
  • Corinth, MS
  • NPI 1881132124
  NPD

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504656000000",
    "number": "1457879801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ALCORN DR STE 2C",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349073",
            "telephone_number": "662-293-7266",
            "fax_number": "662-293-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 HIGHWAY 72 W",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388348556",
            "telephone_number": "662-293-1575",
            "fax_number": "662-293-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDDLESTON",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2017-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renea Michelle Hopple, FNP-C
• Lauren Kutrip Horton, FNP- C
• Patrick S. Hsu, M.D.
• Theresa Ann Hubanks
• Lauren Coker Huckaby, PHARMD
• James Christian Huffman, MD
• Paul Hunninen, LCSW
• Cassidy Hunt
• Chandra Stokes Hurt, PHD
• Clyde Maxwell Hutchinson, M.D.

• Family Nurse Practitioner in Corinth, MS
• Providers in Corinth, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; 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.