Tanya June Hudson, NPC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

69754 Issued in OK

Practice address

217 W. Smith Street
Stratford, OK 74872

Phone

(580) 759-2336

Fax

(580) 332-0383

NPI assigned

Oct 29, 2007

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

Other names 1

• Mrs. Tanya June Kindrick Former name

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ada Health First IncGroup PAC ID 7911148465, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centric Home Health Home health agency, Durant, OK, CCN 377791
• Mercy Hospital Ada Hospital, Ada, OK, CCN 370020
• Norman Regional Hospital, Norman, OK, CCN 370008

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Ada Health First Inc

  • Medical Physician Assistant
  • Ada, OK
  • NPI 1023356342

  OK

  Medicare reassignment Care Compare group NPD
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Mercy Hospital Ada, Inc

  • General Acute Care Hospital
  • Ada, OK
  • NPI 1952643306
  NPD (past)
• Morton Medical and Mental Health Group

  • Psychiatry Physician
  • Stratford, OK
  • NPI 1144060203
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Genesis Healthcare, LLC

  • Home Health Agency
  • Durant, OK
  • NPI 1407202740
  Care Compare affiliation
• Mercy Hospital Ada, Inc

  • Ambulance
  • Ada, OK
  • NPI 1831533728

  Hospital

  Care Compare affiliation
• Mercy Hospital Ada, Inc

  • General Acute Care Hospital
  • Ada, OK
  • NPI 1952643306

  Hospital

  Care Compare affiliation
• Norman Regional Hospital Authority

  • General Acute Care Hospital
  • Norman, OK
  • NPI 1700882578

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1285813089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 W. SMITH STREET",
            "city": "STRATFORD",
            "state": "OK",
            "postal_code": "74872",
            "telephone_number": "580-759-2336",
            "fax_number": "580-332-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W. SMITH STREET",
            "city": "STRATFORD",
            "state": "OK",
            "postal_code": "74872",
            "telephone_number": "580-759-2336",
            "fax_number": "580-332-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "TANYA",
        "middle_name": "JUNE",
        "name_prefix": "Mrs.",
        "credential": "NPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "69754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE",
            "identifier": "F0607273",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "KINDRICK",
            "middle_name": "JUNE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Comprehensive Professional Services LLC
• Michel Danette Cosby, APRN
• Rebecca Lynn Grein, ND
• Melissa Michelle Herrera
• Jessica Anne Hobson, RN/CHHP
• Desiree Hypes
• Kingdom Seekers Incorporated
• Martin J Kubier, PA
• Jason T McDonald
• Medical Center of Stratford

• All providers in Stratford, OK
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.