Individual provider Active NPI

Kyle Daniel Huff, ATC

  • Athletic Trainer
  • Montgomery, AL
National Provider Identifier
1679181028
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1512 Issued in AL
Practice address
1500 E Fairview Ave
Montgomery, AL 36106-2114
Phone
(334) 833-4088
Fax
(334) 833-4026
NPI assigned
Jul 21, 2020
Last updated
Jul 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 1512 AL Primary

Addresses

Primary practice location

1500 E Fairview Ave
Montgomery, AL 36106-2114

Mailing address

2000 Berry Chase PL
Montgomery, AL 36117-6896
Phone (404) 535-1322

Other identifiers 2

IdentifierTypeStateIssuer
2000012748OtherATHLETIC TRAINER BOARD OF CERTIFICATION
1512OtherALALABAMA STATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address khuff@hawks.huntingdon.edu Direct

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
1512ALMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1679181028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 BERRY CHASE PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361176896",
            "telephone_number": "404-535-1322",
            "fax_number": "334-833-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E FAIRVIEW AVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062114",
            "telephone_number": "334-833-4088",
            "fax_number": "334-833-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFF",
        "first_name": "KYLE",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "1512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER BOARD OF CERTIFICATION",
            "identifier": "2000012748",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA STATE LICENSE",
            "identifier": "1512",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khuff@hawks.huntingdon.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1500 E Fairview Ave",
            "city": "Montgomery",
            "state": "AL",
            "country_code": "US",
            "postal_code": "361062114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.