Active NPI
Theresa Huber, ARNP
- Nurse Practitioner
- Minnetonka, MN
National Provider Identifier
1922468545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP 9228390
- Practice address
- 9900 Bren Rd E
Minnetonka, MN 55343-9664 - Phone
- (813) 538-9672
- NPI assigned
- Feb 24, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP 9228390 | FL | Primary |
Addresses
Primary practice location
9900 Bren Rd E
Minnetonka, MN 55343-9664
Mailing address
537 Treviso Dr
Apollo Beach, FL 33572-2124
Phone (813) 393-0670
Other practice location 1
3305 US Highway 98 S
Lakeland, FL 33803-8365
Phone (863) 777-2740
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9228390 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600560000000",
"number": "1922468545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "537 TREVISO DR",
"city": "APOLLO BEACH",
"state": "FL",
"postal_code": "335722124",
"telephone_number": "813-393-0670",
"fax_number": "863-666-2740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 BREN RD E",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553439664",
"telephone_number": "813-538-9672"
}
],
"practiceLocations": [
{
"address_1": "3305 US Highway 98 S",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "338038365",
"country_code": "US",
"telephone_number": "863-777-2740",
"fax_number": "863-666-2740",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUBER",
"first_name": "THERESA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-24",
"last_updated": "2020-09-20",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP 9228390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.