MRS. SHANNON CHRISTINE HUDSON (NPI# 1992774640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992774640 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON CHRISTINE HUDSON |
| Credential | IDC |
| Practice Address |
47149 Buse Rd Unit #1370 Patuxent River MD 20670-1540 |
| Mailing Address |
2534 Gum Way Apt C Lexington Park MD 20653-2288 |
| Practice Telephone | 3013421429 |
| Mailing Telephone | 3013421429 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2008-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | INDEPENDENT DUTY CORPSMAN | 1710I1002X | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548738032 | Shannon Hudson | Nurse Practitioner | 781 Fm 614, Ovalo, TX 79541-3119 | 2018-11-02 |
| 1154815280 | Shannon Marie Hudson | Technician | 3389 Windmill Ct Se, Caledonia, MI 49316-9162 | 2018-06-21 |
| 1013261759 | Shannon G Hudson | Naturopath | 1160 N Dutton Ave Ste 250, Santa Rosa, CA 95401-4658 | 2012-11-02 |
| 1154607976 | Shannon Leigh Hudson | Licensed Practical Nurse | 247 S Chestnut St, Jefferson, OH 44047-1314 | 2011-10-25 |
| 1629636063 | Shannon Hudson | Massage Therapist | 15418 Main St, Mill Creek, WA 98012-9030 | 2019-05-31 |
| 1326166075 | Shannon C Hudson | Dentist | 3369 Pelham Rd, Greenville, SC 29615-4105 | 2007-03-27 |
| 1548234701 | Shannon Hudson | Obstetrics & Gynecology | 90 Maiden Ln, Third Floor, New York, NY 10038-4831 | 2006-02-15 |
| Street Address |
47149 BUSE RD UNIT #1370 |
| City | PATUXENT RIVER |
| State | MD |
| Zip Code | 20670-1540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376521955 | John Christie | Preventive Medicine | 47149 Buse Rd, Bldg 1370, Patuxent River, MD 20670-1540 | 2006-01-04 |
| 1487263364 | Krystal Howell | Registered Nurse | 47149 Buse Rd, Patuxent River, MD 20670-1540 | 2020-07-28 |
| 1023413630 | Jessica Lauren Martin | Physician Assistant | 47149 Buse Rd, Naval Health Clinic Bldg 1370, Patuxent River, MD 20670-1540 | 2014-10-24 |
| 1386063998 | Bradley Yingst | General Practice | 47149 Buse Rd, Building 1370, Patuxent River, MD 20670-1540 | 2014-04-10 |
| 1477805661 | Allen Grove | Psychologist | 47149 Buse Rd, Patuxent River, MD 20670-1540 | 2012-10-11 |
| 1760746770 | Amanda Elizabeth Mcmillan | Physician Assistant | 47149 Buse Rd, Bldg 1370, Patuxent River, MD 20670-1540 | 2012-06-25 |
| 1154616142 | Ejiroghene Onos | Family Medicine | 47149 Buse Rd, Bldg 1370, Patuxent River, MD 20670-1540 | 2011-06-17 |
| 1376845628 | Ronnie Hope Crymes | Pharmacist | 47149 Buse Rd, Naval Health Clinic, Patuxent River, MD 20670-1540 | 2010-11-18 |
| 1780995787 | Vincent L Ackerman | Family Medicine | 47149 Buse Rd, Attn: Medical Staff Services, Patuxent River, MD 20670-1540 | 2010-06-24 |
| 1386975332 | Monika Turner | Pharmacist | 47149 Buse Rd, Patuxent River, MD 20670-1540 | 2010-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902905318 | Naval Health Clinic Patuxent River | Military/U.S. Coast Guard Pharmacy | Bldg 1370, Patuxent River, MD 20670 | 2006-09-22 |
| 1659470078 | Naval Health Clinic Patuxent River | Military/U.S. Coast Guard Pharmacy | Bldg 1370, Patuxent River, MD 20670 | 2006-09-22 |
| 1881831980 | Rebecca Lea Kong | Pharmacist | 22099 Cuddihy Rd Bldg 2369, Patuxent River, MD 20670-1194 | 2009-01-12 |
| 1770720922 | Lisa Kristine Brown | Pharmacist | 22099 Cuddihy Rd, Bldg 2369, Patuxent River, MD 20670-1194 | 2009-01-09 |
| 1336435163 | Leslie Ann Jago | Pharmacist | 22099 Cuddihy Rd, Building 2369, Patuxent River, MD 20670-1194 | 2011-06-20 |
| 1538362041 | Elizabeth Ann Davenport | Military Health Care Provider | 734 Carpenter Park Apt A, Patuxent River, MD 20670-1308 | 2007-06-11 |
| 1528041415 | William Anthony Hill | Optometrist | 47149 Buse Rd Bldg 1370, Patuxent River, MD 20670-1540 | 2005-11-23 |
| 1053307124 | Joseph Leonce Charlot Jr. | Preventive Medicine | 47149 Buse Road, Naval Health Clinic, Patuxent River, MD 20670-1540 | 2005-09-23 |
| 1932721263 | Hayley Bacon | Social Worker | 47149 Buse Rd Bldg 1370, Patuxent River, MD 20670-1540 | 2020-05-08 |
| 1487016119 | Chelsea Hayes Thompson | Family Medicine | 47149 Buse Rd Bldg 1370, Patuxent River, MD 20670-1540 | 2016-03-22 |
| Find all providers in zip 20670 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538362041 | Elizabeth Ann Davenport | Military Health Care Provider | 734 Carpenter Park Apt A, Patuxent River, MD 20670-1308 | 2007-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275143919 | Milton Mcintyre Brown Iv | Military Health Care Provider | 12610 Chanler Ln, Bowie, MD 20715-1302 | 2020-08-07 |
| 1548666415 | Janet Oliva | Military Health Care Provider | 6305 Riverdale Rd, Riverdale, MD 20737-2105 | 2014-11-05 |
| 1740693324 | Benjamin Graves | Military Health Care Provider | 3399 Strauss Ave Bldg 901, Indian Head, MD 20640-5164 | 2014-06-11 |
| 1497009187 | Devin P Sweet | Military Health Care Provider | 5813 Chinquapin Pkwy, 1st Floor, Baltimore, MD 21239-2555 | 2012-11-01 |
| 1083980932 | Ernest Theophilus Quimby Iv | Military Health Care Provider | Walter Reed Nmmc, Bldg 1 Suite 5103 8955 Wood Road, Bethesda, MD 20889-5628 | 2012-03-26 |
| 1447557202 | Louis Florentine Gonzales | Military Health Care Provider | 28k Queen Mary Ct, Chester, MD 21619-2528 | 2011-02-14 |
| 1497918635 | David Paul Horvath | Military Health Care Provider | 3399 Strauss Ave Ste 219, Indian Head, MD 20640-5164 | 2008-07-08 |
| 1932383593 | Michael A Walls | Military Health Care Provider | 3399 Strauss Ave, Suite 219, Indian Head, MD 20640-5164 | 2007-12-19 |
| 1316147457 | Michael Waters | Military Health Care Provider | 14900 Park Central Road, Naval Support Facility, Thurmont, MD 21788 | 2007-07-18 |
| 1407067259 | Michael Bohdan Bozydaj | Military Health Care Provider | 14900 Park Central, Thurmont, MD 21788 | 2007-05-24 |
| Find all providers with the same taxonomy | ||||
| City | PATUXENT RIVER |
| Zip Code | 20670 |
Please comment or provide details below to improve the information on MRS. SHANNON CHRISTINE HUDSON.
| 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.