Individual provider Active NPI

Jeff J Huguet, PARAMEDIC

  • Home Health Registered Nurse
  • Green Bay, WI
National Provider Identifier
1548632144
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
4704302864 Issued in WI
Practice address
200 Arbor LN
Green Bay, WI 54301-1604
Phone
(920) 347-2254
NPI assigned
Oct 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 4704302864 WI Primary

Addresses

Primary practice location

200 Arbor LN
Green Bay, WI 54301-1604

Mailing address

200 Arbor LN
Green Bay, WI 54301-1604
Phone (920) 347-2254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4704302864WIMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Arbor Lane Cares, LLC Past Accepting new patients
Pas de Deux LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1548632144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ARBOR LN",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543011604",
            "telephone_number": "920-347-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ARBOR LN",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543011604",
            "telephone_number": "920-347-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGUET",
        "first_name": "JEFF",
        "middle_name": "J",
        "credential": "PARAMEDIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "4704302864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.