Church Parish Nurse Ministries

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CHURCH PARISH NURSE MINISTRIES

Practice address

1376 Turnbull Bay Rd
Suite 403
New Smyrna Beach, FL 32168-6076

Phone

(386) 290-2216

Fax

(386) 427-6270

NPI assigned

Aug 31, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Fannie M HudsonNPI 1821465246

Title

Executive Director

Phone

(386) 290-2216

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fannie Hudson, RN, CASE MANAGER

  • Case Manager/Care Coordinator
  • New Smyrna Beach, FL
  • NPI 1821465246
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1013384650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1376 TURNBULL BAY RD",
            "address_2": "SUITE 403",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321686076",
            "telephone_number": "386-290-2216",
            "fax_number": "386-427-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1376 TURNBULL BAY RD",
            "address_2": "SUITE 403",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321686076",
            "telephone_number": "386-290-2216",
            "fax_number": "386-427-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCH PARISH NURSE MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "FANNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "386-290-2216",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011149800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kwang Joon Choi, MD
• Michael J Christian
• Christine B. Bailey, PH.D., PC
• Christopher Chien D. Mai, MD,PA
• Clifford C. Chu, M.D.
• Georgia Clanton
• Breon Clark
• Cadence Clark
• Kaitlyn Clark, PT, DPT
• Sonya Miciak Clark, D.O.

• Case Management Agency in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.