Active NPI
Wendy Huckery, ARNP
- Nurse Practitioner
- Tampa, FL
National Provider Identifier
1518188127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP2159602
- Practice address
- 9009 Corporate Lake Dr Ste 200
Tampa, FL 33634 - Phone
- (863) 667-8100
- Fax
- (855) 314-6843
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP2159602 | FL | Primary |
Addresses
Primary practice location
9009 Corporate Lake Dr Ste 200
Tampa, FL 33634
Mailing address
2151 Malachite Dr
Lakeland, FL 33810-8241
Phone (863) 397-5908
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ARNP2159602 | Other | FL | LICENSE |
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP2159602 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535414400000",
"number": "1518188127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2151 MALACHITE DR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338108241",
"telephone_number": "863-397-5908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9009 CORPORATE LAKE DR STE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "33634",
"telephone_number": "863-667-8100",
"fax_number": "855-314-6843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUCKERY",
"first_name": "WENDY",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2018-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP2159602",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "ARNP2159602",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.