Individual provider Active NPI

Sandra Clare Hudson, RN

  • School Registered Nurse
  • Oceanside, CA
National Provider Identifier
1023632023
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
399426 Issued in CA
Practice address
2111 Mission Ave
Oceanside, CA 92058-2395
Phone
(760) 901-8020
NPI assigned
Jun 4, 2020
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X CCS00042F CA
School Registered Nurse 163WS0200X 399426 CA Primary

Addresses

Primary practice location

2111 Mission Ave
Oceanside, CA 92058-2395

Mailing address

PO Box 1322
Fallbrook, CA 92088-1322
Phone (760) 468-4453

Other practice location 1

6991 Balboa Ave
San Diego, CA 92111-3447
Phone (858) 496-8232

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

State licenses

LicenseStateTypeSpecialty
399426CAMDSchool Registered Nurse
CCS00042FCAMDExclusive Provider Organization

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1023632023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1322",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920881322",
            "telephone_number": "760-468-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 MISSION AVE",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920582395",
            "telephone_number": "760-901-8020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6991 Balboa Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921113447",
            "country_code": "US",
            "telephone_number": "858-496-8232",
            "fax_number": "858-496-8234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "SANDRA",
        "middle_name": "CLARE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "CCS00042F",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "399426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.