Active NPI
Audrey Hudson
- Behavior Technician
- Pinehurst, NC
National Provider Identifier
1134637671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 15-03077
- Practice address
- 5 Dowd Cir
Pinehurst, NC 28374 - Phone
- (910) 295-2609
- NPI assigned
- Jan 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 15-03077 | SC | Primary |
Addresses
Primary practice location
5 Dowd Cir
Pinehurst, NC 28374
Mailing address
5 Dowd Cir
Pinehurst, NC 28374-7932
Phone (910) 295-2609
Other practice location 1
1048 Wildwood Centre Dr
Columbia, SC 29229-8420
Phone (803) 999-3752
Other names 1
- Drey Hudson
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-03077 | SC | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1134637671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 DOWD CIR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283747932",
"telephone_number": "910-295-2609",
"fax_number": "800-948-6061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 DOWD CIR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "28374",
"telephone_number": "910-295-2609"
}
],
"practiceLocations": [
{
"address_1": "1048 Wildwood Centre Dr",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292298420",
"country_code": "US",
"telephone_number": "803-999-3752",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUDSON",
"first_name": "AUDREY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-18",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "SC",
"license": "15-03077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DREY",
"last_name": "HUDSON",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.