Susan J Hudson, CNM, LLC

Primary specialty

MidwifeTaxonomy code 176B00000X

License

NM04655 Issued in OH

Legal business name

SUSAN J HUDSON, CNM, LLC

Practice address

1392 High St
Suite 210
Wadsworth, OH 44281-8257

Phone

(330) 334-9355

NPI assigned

Jan 18, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Susan Jane Hudson, MSN, CNM

Title

President, Owner

Phone

(330) 416-9343

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wellspring Women's Health Doing business as

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1043581374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 FALLING OAKS DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1392 HIGH ST",
            "address_2": "SUITE 210",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818257",
            "telephone_number": "330-334-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN J HUDSON, CNM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "330-416-9343",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN, CNM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "OH",
            "license": "NM04655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2090339",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellspring Women's Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Midwife in Wadsworth, OH
• Providers in Wadsworth, OH by specialty
• Midwife in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.