| Katie Huckaby, | |
|
4164 W County Highway 30a, Santa Rosa Beach, FL 32459-4336 | |
| (850) 622-2313 | |
| (850) 622-2718 |
| Full Name | Katie Huckaby |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4164 W County Highway 30a, Santa Rosa Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245648542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3008797 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 9490444 (Florida) | Primary |
| Entity Name | Atwood And Clark Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285038117 PECOS PAC ID: 1557683521 Enrollment ID: O20141202000503 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Huckaby, 66 Mariner Way, Miramar Beach, FL 32550-6931 Ph: (270) 779-0143 | Katie Huckaby, 4164 W County Highway 30a, Santa Rosa Beach, FL 32459-4336 Ph: (850) 622-2313 |
Madison Butcher, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27 Mack Bayou Loop, Santa Rosa Beach, FL 32459 Phone: 850-622-0873 | |
Ms. Erin D Johnson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27 Mack Bayou Loop, Santa Rosa Beach, FL 32459 Phone: 850-622-0873 Fax: 850-622-1912 | |
Keri J Jones Matheus, W.H.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 45 Sugar Sand Lane, Suite A, Santa Rosa Beach, FL 32459 Phone: 850-534-4170 Fax: 850-534-4174 | |
Lauren Karesh, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2563 S County Highway 395, Santa Rosa Beach, FL 32459 Phone: 404-281-0904 Fax: 404-977-4389 | |
Brenda K Whigham I, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27 Mack Bayou Loop, Suite 1000, Santa Rosa Beach, FL 32459 Phone: 850-622-0873 Fax: 850-622-1912 | |
Kristi Eve Crawford, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 179 Mack Bayou Loop Ste 201, Santa Rosa Beach, FL 32459 Phone: 850-233-6922 |