Vanessa Marie Hudson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

34710 Issued in WI

Practice address

416 W Skelly St
Cuba City, WI 53807-1035

Phone

(608) 790-4381

NPI assigned

Oct 31, 2019

Last updated

Oct 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Homeward Bound Medical Supplies, LLC

  • Durable Medical Equipment & Medical Supplies
  • Stuart, FL
  • NPI 1942812649
  NPD Authorized official

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1275177446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 W SKELLY ST",
            "city": "CUBA CITY",
            "state": "WI",
            "postal_code": "538071035",
            "telephone_number": "608-790-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 W SKELLY ST",
            "city": "CUBA CITY",
            "state": "WI",
            "postal_code": "538071035",
            "telephone_number": "608-790-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "VANESSA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "34710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "katelidancare@gmail.com",
            "affiliation": "N",
            "address_1": "416 W Skelly St",
            "city": "Cuba City",
            "state": "WI",
            "country_code": "US",
            "postal_code": "538071035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cuba City Chiropractic Office LLC
• Cuba City Family Dental LLC
• Cuba City Hometown Pharmacy, LLC (Cuba City Hometown Pharmacy)
• Cuba City Hometown Pharmacy, LLC
• Staci Graber, PT
• Kessa Helene Jacobs
• Ann Morley, OTR
• Benjamin Muhlstein, DDS
• Evan Pluym, D.D.S.
• Sahar Rezayazdi, D.D.S.

• Licensed Practical Nurse in Cuba City, WI
• Providers in Cuba City, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.