Active NPI
Kristine Hudson, R N
- Registered Nurse
- Monroe, WI
National Provider Identifier
1023331683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 70619
- Practice address
- 1110 11TH Street
Monroe, WI 53566 - Phone
- (608) 325-1112
- Fax
- (608) 325-1112
- NPI assigned
- Mar 10, 2010
- Last updated
- Mar 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 70619 | WI | Primary |
Addresses
Primary practice location
1110 11TH Street
Monroe, WI 53566
Mailing address
1112 11 Street
Monroe, WI 53566
Phone (608) 325-1112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0597 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268179200000",
"number": "1023331683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 11 STREET",
"city": "MONROE",
"state": "WI",
"postal_code": "53566",
"telephone_number": "608-325-1112",
"fax_number": "608-325-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 11TH STREET",
"city": "MONROE",
"state": "WI",
"postal_code": "53566",
"telephone_number": "608-325-1112",
"fax_number": "608-325-1112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "KRISTINE",
"credential": "R N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-10",
"last_updated": "2010-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "70619",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0597",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.