MRS. JESSICA ADALE HUDSON (NPI# 1174819700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174819700 |
Entity Type | Individual |
Full Name | MRS. JESSICA ADALE HUDSON |
Credential | LCDC INTERN |
Practice Address |
2345 50th Street Lubbock TX 79412 |
Mailing Address |
2345 50th Street Managed Care Center Lubbock TX 79412 |
Practice Telephone | 8067808300 |
Practice Fax Number | 8067808383 |
Mailing Telephone | 8067808300 |
Mailing Fax Number | 8067808383 |
Enumeration Date | 2011-06-22 |
Last Update Date | 2011-06-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
12904 | TX | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841835006 | Jessica Hearn Hudson | Driver | 403 Westview Ln, Columbus, MS 39705-8162 | 2019-11-12 |
1295392405 | Jessica Hudson | Chiropractor | 7360 Sw Hunziker Rd Ste 203, Tigard, OR 97223-2306 | 2019-05-22 |
1114408804 | Jessica Hudson | Homemaker | 1415 Nw 206th Ter, Miami Gardens, FL 33169-2444 | 2018-08-22 |
1255797478 | Jessica Marie Hudson | Dentist | 219 Hawthorne Rd, Bellingham, WA 98225-7719 | 2016-01-04 |
1952734717 | Jessica Hudson | Speech-Language Pathologist | 3635 E Inverness Ave Ste 104, Mesa, AZ 85206-3848 | 2013-08-15 |
1093343253 | Jessica Hudson | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-03-31 |
1124679568 | Jessica Hudson | Chiropractor | 2711 University Blvd N, Jacksonville, FL 32211-3235 | 2019-09-26 |
1851941561 | Jessica Hudson | Pharmacy Technician | 2795 Pilot Knob Rd Ste 300, Eagan, MN 55121-1930 | 2019-09-14 |
1992264287 | Jessica Ashley Hudson | Physical Therapy Assistant | 5050 Lincoln Ave, Evansville, IN 47715-7390 | 2019-03-15 |
1841755600 | Jessica Hudson | Case Manager/Care Coordinator | 1592 Granville Pike, Lancaster, OH 43130-1076 | 2019-02-06 |
Street Address |
2345 50TH STREET |
City | LUBBOCK |
State | TX |
Zip Code | 79412 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861787285 | Sarah Delacruz | Counselor | 2345 50th Street, Lubbock, TX 79412 | 2011-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801420864 | The Kidney Care Center, LLC | Clinic/Center | 3702 Interstate 27, Lubbock, TX 79412 | 2020-02-28 |
1639531254 | Lori Ann Boyd | Dietitian, Registered | 2412 50 Th Street, Lubbock, TX 79412 | 2016-03-23 |
1073989083 | Jesse Garcia | Social Worker | 6104 Ave. Q South Drive, Lubbock, TX 79412 | 2015-08-12 |
1316294408 | Ronald Caporale | Physician Assistant | 1701 50th Street, Lubbock, TX 79412 | 2012-08-08 |
1508152901 | Lilian Francisca Hayes | Counselor | 2345 50th St., Lubbock, TX 79412 | 2011-06-23 |
1407189558 | David G Smith | Counselor | 2345 50th Managed Care Center, Lubbock, TX 79412 | 2009-09-08 |
1427261205 | Barbara J Trotter | Dietitian, Registered | 5022 Ave Q, Covenant Ctr for Outpatient Diabetes Education Lubbock, Lubbock, TX 79412 | 2007-05-08 |
1447471057 | Elmer Artemus Addington IIi | Chiropractor | 3410 Avenue Q, Lubbock, TX 79412 | 2007-05-01 |
1083779805 | Shaun Hamlett Keel PC | Psychologist | 2402 52nd St., Suite 6, Lubbock, TX 79412 | 2006-12-22 |
1124196019 | Gary Lee Kimbley | Counselor | 1105 38th, Lubbock, TX 79412 | 2006-12-01 |
Find all providers in zip 79412 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881209633 | Latia Green Scherpereel | Counselor | 4204 49th St, Lubbock, TX 79413-3722 | 2020-09-09 |
1851861439 | Zachery Brian Sneed | Counselor | 3b310, 3601 4th St Stop 6225, Lubbock, TX 79430 | 2018-11-27 |
1447762414 | Diana L. Lorber | Counselor | 4913 S Loop 289, Lubbock, TX 79424-1630 | 2017-10-31 |
1881065100 | Billy Don Huey | Counselor | 1804 E 2nd St, Lubbock, TX 79403-4016 | 2015-10-13 |
1396111977 | Jessica Ann Murphy | Counselor | 2325 93rd Pl, Lubbock, TX 79423-4423 | 2015-08-18 |
1114287992 | John Allen Shiflet | Counselor | 1709 N Fm 179, Lubbock, TX 79416 | 2012-05-25 |
1659668481 | William Harris | Counselor | 1705 N. Fm. 179, Lubbock, TX 79416 | 2011-06-30 |
1508152901 | Lilian Francisca Hayes | Counselor | 2345 50th St., Lubbock, TX 79412 | 2011-06-23 |
1215222633 | Casey Wilson | Counselor | 1705 N. Fm 179, Lubbock, TX 79416 | 2011-06-14 |
1861787285 | Sarah Delacruz | Counselor | 2345 50th Street, Lubbock, TX 79412 | 2011-06-14 |
Find all providers in LUBBOCK |
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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.