Individual provider Active NPI

Andrea Hudson, FNP-BC

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1043591779
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP120677 Issued in TX
Practice address
5334 Ross Ave Ste 900
Dallas, TX 75206-7465
Phone
(214) 884-1583
NPI assigned
Sep 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 743604 TX
Family Nurse Practitioner 363LF0000X AP120677 TX Primary

Addresses

Primary practice location

5334 Ross Ave Ste 900
Dallas, TX 75206-7465

Mailing address

12377 Merit Dr Ste 300
Dallas, TX 75251-3126
Phone (972) 957-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111221000414 TX Practitioner - Nurse Practitioner 3375719354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Topcare Medical Group IncGroup PAC ID 8426239153, 71 clinicians

Practice addresses (Care Compare)

410 E Pioneer Pkwy
300 Clinicas Mi Doctor
Grand Prairie, TX 75051-4984
Phone (469) 733-1890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
743604TXMDFamily Nurse Practitioner
AP120677TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Topcare Medical Group Inc CurrentSince Jan 12, 2015 Accepting new patients

Locations

5334 Ross Ave
Ste 900A
Dallas, TX 75206
Phone (214) 884-1584

8112 Spring Valley Rd
Dallas, TX 75240
Phone (214) 884-1705

12377 Merit Dr
Ste 300
Dallas, TX 75251

5334 Ross Ave
Ste 900
Dallas, TX 75206
Phone (214) 884-1583

916 Wynnewood Vlg Shp Ctr
Dallas, TX 75224
Phone (214) 941-7611

229 NE 28th St
Ft Worth, TX 76164
Phone (817) 566-0478

410 E Pioneer Pkwy
Ste 300
Grand Prairie, TX 75051
Phone (469) 733-1890

222 Las Colinas Blvd W
Ste 2000
Irving, TX 75039

1120 E Parker Rd
Ste 195
Plano, TX 75074
Phone (469) 298-1216

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": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1043591779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12377 MERIT DR STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513126",
            "telephone_number": "972-957-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5334 ROSS AVE STE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752067465",
            "telephone_number": "214-884-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "ANDREA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "743604",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP120677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.