Active NPI
Woundbridge Medical LLC
- Adult Health Nurse Practitioner
- Florissant, MO
National Provider Identifier
1013827849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- WOUNDBRIDGE MEDICAL LLC
- Practice address
- 4132 90TH Ave
Florissant, MO 63034-2133 - Phone
- (314) 497-6638
- NPI assigned
- Sep 11, 2026
- Last updated
- Sep 11, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Latania Hudson, APRN-NP
- Title
- Nurse Practitioner
- Phone
- (314) 497-6638
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | Primary |
Addresses
Primary practice location
4132 90TH Ave
Florissant, MO 63034-2133
Mailing address
4132 90TH Ave
Florissant, MO 63034-2133
Phone (314) 497-6638
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789084800000",
"number": "1013827849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4132 90TH AVE",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630342133",
"telephone_number": "314-497-6638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4132 90TH AVE",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630342133",
"telephone_number": "314-497-6638"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOUNDBRIDGE MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-11",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A",
"authorized_official_last_name": "HUDSON",
"authorized_official_first_name": "LATANIA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "314-497-6638",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "APRN-NP"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.