Organization Active NPI

Huddlenurse

  • Clinical Medical Laboratory
  • Lubbock, TX
National Provider Identifier
1518634922
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
HUDDLENURSE
Doing business as
Huddlenurse
Practice address
613 N Elkhart Ave Apt a
Lubbock, TX 79416-1446
Phone
(737) 808-5898
Fax
(806) 375-3200
NPI assigned
Aug 24, 2021
Last updated
Aug 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Authorized official

Name
Shanda N BrownNPI 1417623034
Title
Ceo
Phone
(737) 808-5898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

613 N Elkhart Ave Apt a
Lubbock, TX 79416-1446

Mailing address

1400 Westinghouse Rd Apt 5013
Georgetown, TX 78626-2380
Phone (737) 808-5898

Other names 1

  • HUDDLENURSE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210826001574 TX Part B Supplier - Mass Immunization (Roster Biller Only) 8022413228 Practice locations: Lubbock, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1518634922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WESTINGHOUSE RD APT 5013",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786262380",
            "telephone_number": "737-808-5898",
            "fax_number": "806-375-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 N ELKHART AVE APT A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794161446",
            "telephone_number": "737-808-5898",
            "fax_number": "806-375-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDDLENURSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHANDA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "737-808-5898"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HUDDLENURSE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.