Mystery Alisha Hudson

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Practice address

500 W Chincapin
Westville, OK 74965-0410

Phone

(918) 723-3181

Fax

(918) 723-4581

NPI assigned

Jun 30, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1093236929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W CHINCAPIN",
            "city": "WESTVILLE",
            "state": "OK",
            "postal_code": "749650410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W CHINCAPIN",
            "city": "WESTVILLE",
            "state": "OK",
            "postal_code": "749650410",
            "telephone_number": "918-723-3181",
            "fax_number": "918-723-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "MYSTERY",
        "middle_name": "ALISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Anne Glenn, B.A.
• Lisa Greathouse
• Melanie Green
• Mary Lyn Guinn
• Miranda Harbaugh
• Alexander Edward James
• Deene Sue Kiddy
• Samantha Ray Littlejohn
• Misty Mahler
• Haleena Messerschmitt, M AC, DILP AC

• Public Health or Welfare Agency in Westville, OK
• Providers in Westville, OK by specialty
• Public Health or Welfare Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.