Active NPI
Huddlenurse
- Clinical Medical Laboratory
- Lubbock, TX
National Provider Identifier
1518634922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shanda N Brown
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210826001574 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 8022413228 | Practice locations: Lubbock, TX |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Licensed Practical Nurse
- Lubbock, TX
- NPI 1417623034
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
- Hub City Anesthesia
- Hub City Foot and Ankle PLLC
- Hub City Surgery Center, LLC
- Hub City Wellness, LLC (HealthSource of Southwest Lubbock)
- Julie Williams Hubik, AU.D., CCC-A, FAAA
- Kaylie Huddleston, SLP
- Robert William Huddleston I, LCDC-I
- Mark F. Hudgens, R.PH.
- Taylor Marie Hudman, SLP
- Charles Hudson, MD
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.