Individual provider Active NPI

Emerald Huggins Jr., DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1932803798
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
289705 Issued in AZ
Practice address
4643 N 12TH St Ste 102
Phoenix, AZ 85014-4081
Phone
(602) 641-4251
NPI assigned
Mar 27, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 289705 AZ Primary

Addresses

Primary practice location

4643 N 12TH St Ste 102
Phoenix, AZ 85014-4081

Mailing address

4643 N 12TH St Ste 102
Phoenix, AZ 85014-4081
Phone (602) 641-4251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230720002428 AZ Practitioner - Nurse Practitioner 6901266063 Reassigns benefits to 1 organization
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Health, Inc. Single Specialty CurrentSince Sep 25, 2023 Accepting new patients
Resilient Health, Inc. Single Specialty CurrentSince Sep 25, 2023 Accepting new patients
Awareness Oasis Psychiatry Single Specialty CurrentSince Mar 3, 2024 Accepting new patients

Locations

3271 E Queen Creek Rd
Ste 101
Gilbert, AZ 85297
Phone (480) 550-3193

1801 E Camelback Rd
Ste 102
Phoenix, AZ 85016
Phone (480) 378-7607

4643 N 12th St
Ste 102
Phoenix, AZ 85014
Phone (602) 641-4251

1415 N 1st St
Phoenix, AZ 85004
Phone (602) 302-7815

2255 W Northern Ave
Ste B100
Phoenix, AZ 85021

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1932803798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4643 N 12TH ST STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144081",
            "telephone_number": "602-641-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4643 N 12TH ST STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144081",
            "telephone_number": "602-641-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGGINS",
        "first_name": "EMERALD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "289705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.