Active NPI
Richard L Huffman, CRNA
- Certified Registered Nurse Anesthetist
- Austin, TX
National Provider Identifier
1669443131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP125181
- Practice address
- 4544 S Lamar Blvd
Ste 700
Austin, TX 78745 - Phone
- (512) 834-4141
- Fax
- (512) 834-4142
- NPI assigned
- Jan 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 887402 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | AP125181 | TX | Primary |
Addresses
Primary practice location
4544 S Lamar Blvd
Ste 700
Austin, TX 78745
Mailing address
15216 Kevin Lane
Austin, TX 78734
Phone (573) 578-7775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 345038901 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 887402 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri Baptist Hospital of Sullivan | Past | Accepting new patients | |
| Water Leaf Surgery Center, LTD | Past | Accepting new patients | |
| Glenn a Kunkel MD LLC | Past | Accepting new patients | |
| Missouri Baptist Hospital of Sullivan | Past | Accepting new patients |
Interoperability endpoints
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 4
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.
-
- Ambulatory Surgical Clinic/Center
- Austin, TX
- NPI 1437505948
-
- Pain Medicine (Anesthesiology) Physician
- Rolla, MO
- NPI 1649255894
-
- Rural Health Clinic/Center
- Sullivan, MO
- NPI 1235228222
-
- Rural Health Clinic/Center
- Cuba, MO
- NPI 1396827408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462492800000",
"number": "1669443131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15216 KEVIN LANE",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78734",
"telephone_number": "573-578-7775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4544 S LAMAR BLVD",
"address_2": "STE 700",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78745",
"telephone_number": "512-834-4141",
"fax_number": "512-834-4142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUFFMAN",
"first_name": "RICHARD",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-31",
"last_updated": "2016-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "887402",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP125181",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "345038901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.