Individual provider Active NPI

Lea Linette Huetteman, RN,PHN

  • Registered Nurse
  • Alturas, CA
National Provider Identifier
1982801692
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN200410 Issued in CA
Practice address
441 N Main St
Alturas, CA 96101-3457
Phone
(530) 233-6312
Fax
(530) 233-5311
NPI assigned
Jun 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN200410 CA Primary
Registered Nurse 163W00000X PHN45504 CA

Addresses

Primary practice location

441 N Main St
Alturas, CA 96101-3457

Mailing address

441 N Main St
Alturas, CA 96101-3457
Phone (530) 233-6312

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
PHN45504CAMDRegistered Nurse
RN200410CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982801692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 N MAIN ST",
            "city": "ALTURAS",
            "state": "CA",
            "postal_code": "961013457",
            "telephone_number": "530-233-6312",
            "fax_number": "530-233-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 N MAIN ST",
            "city": "ALTURAS",
            "state": "CA",
            "postal_code": "961013457",
            "telephone_number": "530-233-6312",
            "fax_number": "530-233-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUETTEMAN",
        "first_name": "LEA",
        "middle_name": "LINETTE",
        "credential": "RN,PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN200410",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "PHN45504",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alturas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.