Healthcare Provider Details

I. General information

NPI: 1295493542
Provider Name (Legal Business Name): JOSEPH BLAKE HUGGINS NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JOSEPH BLAKE BRAWLEY

II. Dates (important events)

Enumeration Date: 12/03/2021
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 K ST NW STE 400
WASHINGTON DC
20006-1526
US

IV. Provider business mailing address

6255 W SUNSET BLVD FL 21
LOS ANGELES CA
90028-7422
US

V. Phone/Fax

Practice location:
  • Phone: 202-293-8680
  • Fax: 202-293-8694
Mailing address:
  • Phone: 323-860-5200
  • Fax: 323-467-7119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR244355
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1054590
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: