KELLY R HUDSON (NPI# 1588080097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588080097 |
| Entity Type | Individual |
| Full Name | KELLY R HUDSON |
| Other Name | KELLY R BRYANT |
| Credential | LPN |
| Practice Address |
805 Old Pioneer Way North Ptarmigan Ridge Orting WA 98360 |
| Mailing Address |
121 Whitesell St Orting School District Orting WA 98360 |
| Practice Telephone | 3608930595 |
| Practice Fax Number | 3608930603 |
| Mailing Telephone | 3608936500 |
| Mailing Fax Number | 3608932300 |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2014-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LP60303592 | WA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417163916 | Kelly K Hudson | Nurse Practitioner | 239 Ivan Allen Jr. Boulevard, Atlanta, GA 30313 | 2007-05-14 |
| 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 |
805 OLD PIONEER WAY NORTH PTARMIGAN RIDGE |
| City | ORTING |
| State | WA |
| Zip Code | 98360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093257917 | Amber Beers | Peer Specialist | 111 Nelsen Street Ne, Orting, WA 98360 | 2016-11-09 |
| 1750747572 | Tinneca Fortin | Midwife | 14610 154th St E, Orting, WA 98360 | 2016-01-08 |
| 1083041974 | Ashley N Potter | Massage Therapist | 215 White Sell Ste C-102, Orting, WA 98360 | 2013-10-09 |
| 1093962318 | Advance Physical Therapy of Orting, Inc. | Clinic/Center | 208 Corrin Ave. S.w., Orting, WA 98360 | 2008-08-19 |
| 1134392392 | Mark W Bird | Denturist | 214 Washington Ave., Orting, WA 98360 | 2008-04-09 |
| 1518187863 | Carl Wesley Youngquist | Dentist | 106 Calistoga St W, Orting, WA 98360 | 2007-04-27 |
| 1972728608 | James Lee Duffin | Dentist | 111 Leber Street North East, Orting, WA 98360 | 2007-04-16 |
| 1588737787 | Steven William Jones | Chiropractor | 215 Whitesell St E, C-102, Orting, WA 98360 | 2006-11-16 |
| 1225130545 | Cheryl L. Wright | Dietitian, Registered | 1301 Orting-kapowsin Highway, Orting, WA 98360 | 2006-09-05 |
| 1962431999 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 215 Whitesell St Nw, Orting, WA 98360 | 2006-07-02 |
| Find all providers in zip 98360 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780056663 | Melissa R Lewis | Licensed Practical Nurse | 14812 State Route 162 E, Orting, WA 98360-9510 | 2015-10-30 |
| 1316344344 | Andi Bieber | Licensed Practical Nurse | 111 Whitehawk Blvd Nw, Orting, WA 98360-7480 | 2014-11-19 |
| 1578984704 | Adele Hoxie | Licensed Practical Nurse | 121 Whitesell St Ne, Orting, WA 98360-8410 | 2013-12-13 |
| 1629566310 | Alexandra Elisabeth Graziani | Licensed Practical Nurse | 320 Washington Ave N, Orting, WA 98360-8404 | 2018-04-27 |
| 1164960159 | Fallon Boone | Licensed Practical Nurse | 320 Washington Ave N, Orting, WA 98360-8404 | 2017-02-09 |
| 1386196137 | Cathleen Lombard | Licensed Practical Nurse | 121 Whitesell St Ne, Orting, WA 98360-8410 | 2016-10-27 |
| 1306398169 | Sandra Van Kirk | Licensed Practical Nurse | 121 Whitesell St Ne, Orting, WA 98360-8410 | 2016-10-27 |
| 1386196483 | Catherine Elizabeth Taylor | Licensed Practical Nurse | 121 Whitesell St Ne, Orting, WA 98360-8410 | 2016-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163424 | Joseph Mbote | Licensed Practical Nurse | 1017 W 17th St, Port Angeles, WA 98363-7435 | 2020-10-29 |
| 1942808332 | Christine S Kruger | Licensed Practical Nurse | 103 E Main St Ste 304, Walla Walla, WA 99362-1900 | 2020-10-16 |
| 1346857422 | Robert Gitonga | Licensed Practical Nurse | 3206 94th St S, Lakewood, WA 98499-3553 | 2020-09-23 |
| 1366058869 | Ruth Wakarima Martineau | Licensed Practical Nurse | 2100 S 336th St, Federal Way, WA 98003-8961 | 2020-09-20 |
| 1275143570 | Hiljay Homes Inc | Licensed Practical Nurse | 111 Nw 203rd St, Shoreline, WA 98177-2019 | 2020-08-03 |
| 1437767050 | Kimberley Damian | Licensed Practical Nurse | 1902 E Kessler Blvd, Longview, WA 98632-1844 | 2020-07-20 |
| 1649897505 | Erin Day | Licensed Practical Nurse | 12101 Daphne Ln Nw Apt B108, Silverdale, WA 98383-8680 | 2020-06-26 |
| 1003432782 | Jayde M Wright | Licensed Practical Nurse | 638 12th St, Washougal, WA 98671-1309 | 2020-06-18 |
| 1225652597 | Caesar Mburu | Licensed Practical Nurse | 4607 Sw 327th St, Federal Way, WA 98023-1901 | 2020-06-03 |
| 1922629427 | Helen Kigonya Babirye I | Licensed Practical Nurse | 9625 Croft St S, Tacoma, WA 98444-6533 | 2020-05-06 |
| Find all providers with the same taxonomy | ||||
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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.