Organization Active NPI

Mary J Huff Psychiatric Nurse Practitioner PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Prescott, AZ
National Provider Identifier
1891095667
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP2067 Issued in AZ
Legal business name
MARY J HUFF PSYCHIATRIC NURSE PRACTITIONER PLLC
Practice address
143 N McCormick St
Suite 103
Prescott, AZ 86301-2723
Phone
(928) 308-3715
Fax
(928) 778-3464
NPI assigned
Oct 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Authorized official

Name
Ms. Mary Jane Huff, NP
Title
Psychiatric Nurse Practitioner
Phone
(928) 308-3715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X AP2067 AZ Primary

Addresses

Primary practice location

143 N McCormick St
Suite 103
Prescott, AZ 86301-2723

Mailing address

PO Box 3658
Flagstaff, AZ 86003-3658
Phone (928) 308-3715

National Provider Directory

National Provider Directory

Locations

2380 N Oakmont Dr
Flagstaff, AZ 86004
Phone (928) 308-3715

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1891095667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3658",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860033658",
            "telephone_number": "928-308-3715",
            "fax_number": "928-778-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 N MCCORMICK ST",
            "address_2": "SUITE 103",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012723",
            "telephone_number": "928-308-3715",
            "fax_number": "928-778-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY J HUFF PSYCHIATRIC NURSE PRACTITIONER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "HUFF",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "928-308-3715",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP2067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.