MRS. KELLY K HUDSON (NPI# 1417163916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417163916 |
Entity Type | Individual |
Full Name | MRS. KELLY K HUDSON |
Credential | FNP |
Practice Address |
239 Ivan Allen Jr. Boulevard Atlanta GA 30313 |
Mailing Address |
440 Summerfield Drive Alpharetta GA 30022 |
Practice Telephone | 4045236571 |
Practice Fax Number | 4045236574 |
Mailing Telephone | 7707401267 |
Mailing Fax Number | 4045236574 |
Enumeration Date | 2007-05-14 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R093576 | GA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588080097 | Kelly R Hudson | Licensed Practical Nurse | 805 Old Pioneer Way North, Ptarmigan Ridge, Orting, WA 98360 | 2014-03-07 |
1427484849 | Kelly A Hudson | Counselor | 223 E Main St, Suite 300, Rock Hill, SC 29730-4571 | 2013-09-17 |
1588675318 | Kelly T Hudson | Physical Therapy Assistant | 103 Northpark Blvd, Suite 205, Covington, LA 70433-6119 | 2006-08-10 |
Street Address |
239 IVAN ALLEN JR. BOULEVARD |
City | ATLANTA |
State | GA |
Zip Code | 30313 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275067894 | Brittni Fleming | Counselor | 250 Park Avenue West, Atlanta, GA 30313 | 2017-04-20 |
1134158413 | Francine Blonnetta Ricketts | Physician Assistant | 430 Centennial Olympic Park Drive, Atlanta, GA 30313 | 2006-06-30 |
1053348540 | Deborah Robinson Maclean | Specialist/Technologist | Healthworks/the Coca-cola Company, One Coca-cola Plaza - Hmc, Atlanta, GA 30313 | 2006-06-28 |
1851345904 | William C Warren Iv | Pediatrics | 239 Ivan Allen Jr Blvd, Atlanta, GA 30313 | 2006-05-22 |
1790222834 | Courtney Dean | Specialist/Technologist | 150 Bobby Dodd Way, Atlanta, GA 30313 | 2017-01-27 |
1932503711 | Emory Employer Based Health Services | Clinic/Center | 1 Coca Cola Plz Nw, Atlanta, GA 30313 | 2014-10-22 |
1124342019 | Professional Speech & Language Therapy, Inc | Clinic/Center | 210 Walker St Sw Unit 5, Atlanta, GA 30313-1213 | 2010-03-21 |
1285145789 | Express At Northside LLC | Pharmacy | 296 Northside Dr Sw, Atlanta, GA 30313-1228 | 2017-10-24 |
1730155144 | Javonya Donell Clemons | Speech-Language Pathologist | 210 Walker Street, Loft 5, Atlanta, GA 30313-1257 | 2006-02-24 |
1053506162 | Diabetic Foot Care Specialist of Georgia | Podiatrist | 238 Walker St Sw, Unit #12, Atlanta, GA 30313-1266 | 2007-09-11 |
Find all providers in zip 30313 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
1790398790 | Starr Patrice Dickerson | Nurse Practitioner | 655 Dot Dr, Atlanta, GA 30349-2730 | 2020-08-28 |
1265042162 | Habida Elachola | Nurse Practitioner | 2533 Henderson Mill Rd Ne, Atlanta, GA 30345-2135 | 2020-08-05 |
1184249815 | Nichelle Osborne | Nurse Practitioner | 5785 Roswell Rd, Atlanta, GA 30328-4903 | 2020-06-09 |
1902427149 | Oasis Health Services, LLC | Nurse Practitioner | 6595 Roswell Rd Ste G1255, Atlanta, GA 30328-3152 | 2020-04-28 |
1063042927 | Mary Gillon Hall | Nurse Practitioner | 90 La Rue Pl Nw, Atlanta, GA 30327-4075 | 2020-01-20 |
1396382321 | Stacey Brinkley | Nurse Practitioner | 3725 Princeton Lakes Pkwy Sw Apt 7304, Atlanta, GA 30331-5564 | 2019-12-10 |
1801439401 | Debadrita Mondal | Nurse Practitioner | 180 Jackson St Ne Apt 2506, Atlanta, GA 30312-1373 | 2019-10-26 |
1265075170 | Cecile Veronica Maner | Nurse Practitioner | 105 Collier Rd Nw Ste 3040, Atlanta, GA 30309-1733 | 2019-10-23 |
1194366567 | Tondalaya K Sanford | Nurse Practitioner | 3119 Fonseca Pass, Atlanta, GA 30349-8140 | 2019-10-07 |
Find all providers in ATLANTA |
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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.