Individual provider Active NPI

Collette Hudson-Murray

  • Licensed Practical Nurse
  • Atlanta, GA
National Provider Identifier
1295302479
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN042581 Issued in GA
Practice address
777 Cleveland Ave SW Ste 506
Atlanta, GA 30315-7115
Phone
(404) 228-1568
NPI assigned
Jun 7, 2021
Last updated
Sep 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN042581 GA Primary

Addresses

Primary practice location

777 Cleveland Ave SW Ste 506
Atlanta, GA 30315-7115

Mailing address

777 Cleveland Ave SW Ste 506
Atlanta, GA 30315-7115
Phone (404) 228-1568

Other names 1

  • Collette Hudson Professional name

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

State licenses

LicenseStateTypeSpecialty
LPN042581GAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Murray Career Institute Corp Licensed Practical Nurse CurrentSince Jun 15, 2021 Accepting new patients

Locations

777 Cleveland Ave SW
Ste 506
Atlanta, GA 30315
Phone (404) 228-1568

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1295302479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CLEVELAND AVE SW STE 506",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157115",
            "telephone_number": "404-228-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CLEVELAND AVE SW STE 506",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157115",
            "telephone_number": "404-228-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON-MURRAY",
        "first_name": "COLLETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN042581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLETTE",
            "last_name": "HUDSON",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.