THOMAS HUDDLESTON (NPI# 1295977213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295977213 |
| Entity Type | Individual |
| Full Name | THOMAS HUDDLESTON |
| Practice Address |
350 City View Dr Ste 302 Evanston WY 82930-5327 |
| Practice Telephone | 3077897915 |
| Practice Fax Number | 3077896009 |
| Mailing Telephone | 3077897915 |
| Mailing Fax Number | 3077896009 |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC-629 | WY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184694424 | Thomas L Huddleston | Orthopaedic Surgery | 3 Professional Park Dr, Suite 21, Johnson City, TN 37604-6529 | 2006-01-26 |
| 1669459285 | Thomas Kevin Huddleston | Nurse Anesthetist, Certified Registered | 6606 Lbj Fwy Ste 200, Dallas, TX 75240-6524 | 2005-12-23 |
| Street Address |
350 CITY VIEW DR STE 302 |
| City | EVANSTON |
| State | WY |
| Zip Code | 82930-5327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043328719 | County of Uinta | Public Health or Welfare | 350 City View Dr, Ste 101, Evanston, WY 82930-5327 | 2006-08-25 |
| 1306273263 | Andrea Michelle Smith | Community Health Worker | 350 City View Dr, Suite 302, Evanston, WY 82930-5307 | 2013-10-08 |
| 1184062168 | Tammy Maestas | Community Health Worker | 350 City View Dr, Suite 302, Evanston, WY 82930-5327 | 2013-06-12 |
| 1710225461 | Karrie Lee Nielsen | Community Health Worker | 350 City View Dr, Suite 302, Evanston, WY 82930-5327 | 2013-01-30 |
| 1124364385 | Liana Kaye Rasmussen | Social Worker | 350 City View Dr, Suite 302, Evanston, WY 82930-5327 | 2012-12-17 |
| 1114286580 | Lisa Kay Faulkner | Community Health Worker | 350 City View Dr, Suite 302, Evanston, WY 82930-5327 | 2012-05-04 |
| 1881960854 | Lisa Faulkner | Community Health Worker | 350 City View Dr, Suite 302, Evanston, WY 82930-5327 | 2012-03-23 |
| 1184909665 | Stephen Jared Hardman | Counselor | 350 City View Dr, Suite # 302, Evanston, WY 82930-5327 | 2011-10-17 |
| 1013297415 | Katherine Walworth | Community Health Worker | 350 City View Dr, Suite # 302, Evanston, WY 82930-5327 | 2011-08-17 |
| 1679852073 | Jennifer Dunning | Community Health Worker | 350 City View Dr, Suite #302, Evanston, WY 82930-5327 | 2011-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
| 1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
| 1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
| 1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
| 1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
| 1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
| 1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
| 1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
| 1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
| 1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
| Find all providers in zip 82930 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548873813 | Elizabeth Maureen Wickstrom | Counselor | 2013 Jackson Ave Apt 1, Evanston, IL 60201-6603 | 2020-08-26 |
| 1861032385 | Amy J Graham | Counselor | 622 Davis St Ste 200, Evanston, IL 60201-4491 | 2020-01-13 |
| 1700431491 | Ume Abi Saleem | Counselor | 2100 Ridge Ave # G320, Evanston, IL 60201-2716 | 2019-08-08 |
| 1598324766 | Lauren Claire Bajek | Counselor | 636 Church St Ste 301, Evanston, IL 60201-6030 | 2019-06-11 |
| 1831655737 | Shalini Lulla LLC | Counselor | 1830 Sherman Ave Ste 307, Evanston, IL 60201-3773 | 2019-02-15 |
| 1619440831 | Amar Vijay Dave | Counselor | 1509 Ridge Ave, Evanston, IL 60201-4135 | 2019-01-10 |
| 1558848242 | Joanne Barbara Lagattolla | Counselor | 990 Grove St # 303, Evanston, IL 60201-6510 | 2018-07-25 |
| 1205326303 | Insideout Living Inc II | Counselor | 1618 Orrington Ave Ste 311, Evanston, IL 60201-5016 | 2018-05-14 |
| 1881181121 | Liliana Cardona | Counselor | 2005 Emerson St, Evanston, IL 60201-3305 | 2018-04-20 |
| 1316466568 | Angela Mclean | Counselor | 2645 Asbury Ave, Evanston, IL 60201-1605 | 2017-09-19 |
| Find all providers in EVANSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.