Active NPI
Kathryn Elliott-Hudson, MED. ,LISAC, NCGC-II
- Addiction (Substance Use Disorder) Counselor
- Scottsdale, AZ
National Provider Identifier
1265766547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LISAC 10665
- Practice address
- 7219 E Shea Blvd
Scottsdale, AZ 85260-6423 - Phone
- (480) 991-9818
- NPI assigned
- Sep 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC 10665 | AZ | Primary |
Addresses
Primary practice location
7219 E Shea Blvd
Scottsdale, AZ 85260-6423
Mailing address
7219 E Shea Blvd
Scottsdale, AZ 85260-6423
Phone (480) 991-9818
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LISAC 10665 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253404800000",
"number": "1265766547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7219 E SHEA BLVD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606423",
"telephone_number": "480-991-9818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7219 E SHEA BLVD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606423",
"telephone_number": "480-991-9818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT-HUDSON",
"first_name": "KATHRYN",
"name_prefix": "Ms.",
"credential": "MED. ,LISAC, NCGC-II",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-20",
"last_updated": "2009-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LISAC 10665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.