Christie Noelani Huddy

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95019818 Issued in CA

Practice address

18740 Ventura Blvd Ste 102
Tarzana, CA 91356-6353

Phone

(818) 708-7668

NPI assigned

Mar 24, 2022

Reactivated

Aug 16, 2023

Last updated

Aug 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coast to Coast Foot DoctorsGroup PAC ID 3072971100, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coast to Coast Foot Doctors

  • Podiatrist
  • Tarzana, CA
  • NPI 1558064246
  Medicare reassignment Care Compare group NPD
• Empire Wound Care

  • General Practice Physician
  • Monrovia, CA
  • NPI 1710796792
  NPD

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1992455976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 PASEO GRACIA",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18740 VENTURA BLVD STE 102",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566353",
            "telephone_number": "818-708-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDDY",
        "first_name": "CHRISTIE",
        "middle_name": "NOELANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "deactivation_date": "2022-11-30",
        "reactivation_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95019818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen J Howard, DDS
• Howell Healthcare Inc
• Hu-121 Inc.
• Der-How Huang, D.P.T., C.S.C.S
• Huddleston Hip & Knee Institute
• Alan Hudosh, CCAPP
• Bernard O. Hudson III, M.D.
• Anthony Brain Hughey
• Eric Hunter
• Mikaela Hurd

• Primary Care Nurse Practitioner in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.