Edward Isaac Hughes

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

PS 0000476 Issued in WA

Practice address

1516 Hudson St Ste 105
Longview, WA 98632-3046

Phone

(360) 628-6049

NPI assigned

Oct 28, 2014

Last updated

Oct 28, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1730584111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 HUDSON ST STE 105",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 HUDSON ST STE 105",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323046",
            "telephone_number": "360-628-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "EDWARD",
        "middle_name": "ISAAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "WA",
            "license": "OI 60328112",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "WA",
            "license": "PS 0000476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHOTIC LICENSE",
            "identifier": "OI 60328112",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROSTHETIC LICENSE #",
            "identifier": "PS 00000476",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zhilin Huang
• Terrie L Huckaba, RPH
• Glenn Hudson, LICSW
• Elizabeth Huebert
• Daniel Lee Hughes, DPT
• R. Scott Hughey, MD
• Jade N Huhta, LPN
• Kaisa Huhta, BSW, CAAR
• James Ernest Hulbert, MD
• Jeanne L Humbert, RPT

• Prosthetist in Longview, WA
• Providers in Longview, WA by specialty
• Prosthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.