Individual provider Active NPI

Pamela Huffaker, NP-C

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1568875847
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-15697 Issued in OH
Practice address
3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone
(136) 364-2005
Fax
(513) 575-1451
NPI assigned
Jun 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.15697 OH
Family Nurse Practitioner 363LF0000X NP-15697 OH Primary

Addresses

Primary practice location

3333 Burnet Ave
Cincinnati, OH 45229-3026

Mailing address

3333 Burnet Ave Ste a
Cincinnati, OH 45229-3026
Phone (136) 364-2005

Other identifiers 1

IdentifierTypeStateIssuer
0107869MedicaidOH

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20140618001695 OH Practitioner - Nurse Practitioner 0547484362 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.15697OHMDNurse Practitioner
NP-15697OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Medical Center Nurse Practitioner CurrentSince Oct 14, 2021 Accepting new patients
City of Cincinnati - Board of Health CurrentSince May 17, 2015 Accepting new patients
City of Cincinnati Current Accepting new patients
City of Cincinnati Current Accepting new patients
City of Cincinnati CurrentSince May 17, 2015 Accepting new patients
City of Cincinnati CurrentSince May 17, 2015 Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

3101 Burnet Ave
Cincinnati, OH 45229
Phone (513) 357-7289

3917 Spring Grove Ave
Cincinnati, OH 45223
Phone (513) 357-7421

5818 Madison Rd
Cincinnati, OH 45227
Phone (513) 271-6089

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

3333 Burnet Ave
Ste A
Cincinnati, OH 45229

3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225

2750 Beekman St
Cincinnati, OH 45225
Phone (513) 352-3192

1525 Elm St
Cincinnati, OH 45202
Phone (513) 357-7308

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

7777 Yankee Rd
#16062
Liberty Township, OH 45044
Phone (513) 636-3200

Organizations & group practices 6

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": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1568875847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE STE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "136-364-2005",
            "fax_number": "513-576-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "136-364-2005",
            "fax_number": "513-575-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFAKER",
        "first_name": "PAMELA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.15697",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP-15697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0107869",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.