Peggy Hudelson, R.N.

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN199141L Issued in PA

Practice address

1637 Honey Hole Rd
White Haven, PA 18661-3405

Phone

(570) 443-8887

NPI assigned

Oct 19, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1205435542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 HONEY HOLE RD",
            "city": "WHITE HAVEN",
            "state": "PA",
            "postal_code": "186613405",
            "telephone_number": "570-443-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 HONEY HOLE RD",
            "city": "WHITE HAVEN",
            "state": "PA",
            "postal_code": "186613405",
            "telephone_number": "570-443-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDELSON",
        "first_name": "PEGGY",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "PA",
            "license": "RN199141L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5N87HC5HW34",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethann Feist
• Rose Firdous
• Michele Garren, RN
• Ashley Marie Garrido, CCC-SLP
• Francis Michael Glushefski, DMD
• David R Jones, RPH
• Briana Marie Cole Kesselring, MSN, FNP-C
• Judith Kovack
• Sylvia L Lafair, PHD
• Elaine Lehman, RN

• General Practice Registered Nurse in White Haven, PA
• Providers in White Haven, PA by specialty
• General Practice Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.