KRONDA NICOLE HUDDLESTON
NPI 1255074399
Technician - Attendant Care Provider in Fort Wayne, IN

Active since April 17, 2022
3120 BROADWAY, FORT WAYNE, IN 46807(260) 704-5466 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 6, 2025, Apr 17, 2022 (2 updates tracked since 2022).

  • Individual
  • Female
  • Technician
  • Attendant Care Provider

About KRONDA HUDDLESTON

This page provides the complete NPI Profile along with additional information for Kronda Huddleston, a provider established in Fort Wayne, Indiana with a medical specialization in Technician, focusing in attendant care provider . The healthcare provider is registered in the NPI registry with number 1255074399 assigned on April 2022. The practitioner's primary taxonomy code is 3747A0650X. The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1255074399 Verify this NPI
Provider Name
KRONDA NICOLE HUDDLESTON
Gender
Female
Entity Type
Individual
Location Address
3120 BROADWAY FORT WAYNE, IN 46807
Location Phone
(260) 704-5466
Mailing Address
811 E PONTIAC ST FORT WAYNE, IN 46803
Mailing Phone
(260) 704-5466
Is Sole Proprietor?
No
Enumeration Date
04-17-2022
Last Update Date
01-14-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Technician Attendant Care Provider

Taxonomy Code
3747A0650X
Type
Nursing Service Related Providers
Taxonomy Description
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

28245427A (IN)
2163W00000XNursing Service Providers

Registered Nurse

28245427C (IN)
33747P1801XNursing Service Related Providers

Technician
Personal Care Attendant

 
4376J00000XNursing Service Related Providers

Homemaker

 

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Intermediate Care Facility, Mental Illness
3120 BROADWAY
FORT WAYNE, IN 46807

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255074399, enumerated as an "individual" on April 17, 2022.

The provider is located at 3120 BROADWAY FORT WAYNE, IN 46807 and the phone number is (260) 704-5466.

Technician with taxonomy code 3747A0650X and a focus in Attendant Care Provider.