Individual provider Active NPI

Derrick D Hudson, RN

  • Registered Nurse
  • North Little Rock, AR
National Provider Identifier
1023950748
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R085961 Issued in AR
Practice address
2601 McCain Blvd Ste C
North Little Rock, AR 72116-8013
Phone
(501) 604-6604
Fax
(501) 451-5644
NPI assigned
Apr 9, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R085961 AR Primary

Addresses

Primary practice location

2601 McCain Blvd Ste C
North Little Rock, AR 72116-8013

Mailing address

2601 McCain Blvd Ste C
North Little Rock, AR 72116-8013
Phone (501) 604-6604

Other practice location 1

17406 Chenal Pkwy Ste 250
Little Rock, AR 72223-5701
Phone (501) 604-6604

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
R085961ARMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ivx Health of Arkansas, Inc. PastSince Feb 24, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1775692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1023950748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 MCCAIN BLVD STE C",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168013",
            "telephone_number": "501-604-6604",
            "fax_number": "501-451-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 MCCAIN BLVD STE C",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168013",
            "telephone_number": "501-604-6604",
            "fax_number": "501-451-5644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17406 Chenal Pkwy Ste 250",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722235701",
            "country_code": "US",
            "telephone_number": "501-604-6604",
            "fax_number": "501-451-5644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "DERRICK",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R085961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.

Verify at the official NPI Registry.