Daveena Hudson-Polk, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

11748 South Vincennes Ave
Chicago, IL 60643

Phone

(773) 263-9529

NPI assigned

Nov 22, 2016

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

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": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1245773340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11748 S VINCENNES AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434913",
            "telephone_number": "773-263-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11748 SOUTH VINCENNES AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60643",
            "telephone_number": "773-263-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON-POLK",
        "first_name": "DAVEENA",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Huddlestun, PHARMD
• Amanda Elizabeth Hudec
• Jessica Hudnall
• Christine Hudoba, APRN
• Sydney Rose Hudock
• Carmen G. Hudson-White, M.D.
• Aaron Hudson, M.D.
• Amber Suzanne Hudson, LCPC
• Andrew Joseph Hudson, PA-C
• Anthony James Hudson, LSW

• Nurse's Aide in Chicago, IL
• Providers in Chicago, IL by specialty
• Nurse's Aide in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.