Ellisa Hudson, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

228041 Issued in OK

Practice address

6301 Winslet Dr
Choctaw, OK 73020-5548

Phone

(405) 706-4565

NPI assigned

Apr 16, 2026

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1124962592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 WINSLET DR",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730205548",
            "telephone_number": "405-706-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 WINSLET DR",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730205548",
            "telephone_number": "405-706-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "ELLISA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OK",
            "license": "228041",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0088137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holistic Physical Therapy and Wellness
• Cristina Michelle Holloway, MA, LMFT CANDIDATE
• Danielle Charlotte Marie Holmstrom
• Home Therapy Services PLLC
• Hometown Primary Care, PLLC
• Ico Primary Care, LLC
• Immediate Care of Oklahoma
• Elizabeth Jamison
• Doretta Jenison, PA-C
• Loraina Isabel Jimenez

• Gerontology Nurse Practitioner in Choctaw, OK
• Providers in Choctaw, OK by specialty
• Gerontology Nurse Practitioner in Oklahoma

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