Individual provider Active NPI

Whitney Ryan Hudak, CNM, DNP

  • Midwife
  • Providence, RI
National Provider Identifier
1295364362
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
CNM00186 Issued in RI
Practice address
18 Imperial PL Unit 2D
Providence, RI 02903-4642
Phone
(401) 727-4800
NPI assigned
Apr 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X CNM00186 RI Primary

Addresses

Primary practice location

18 Imperial PL Unit 2D
Providence, RI 02903-4642

Mailing address

18 Imperial PL
Providence, RI 02903-4641

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address whudak@wih.cernerdirect.carene.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200730002595 RI Practitioner - Certified Nurse Midwife (CNM) 5294150777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Columbia University College of Physicians and Surgeons, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC CurrentSince Jul 27, 2020 Accepting new patients
Affinity Physicians LLC. CurrentSince Jul 27, 2020 Accepting new patients

Locations

1407 S County Trl
Ste 420
East Greenwich, RI 02818
Phone (401) 616-1627

21 Division St
Pawtucket, RI 02860

18 Imperial Pl
Unit 2D
Providence, RI 02903
Phone (401) 621-6090

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

Interoperability endpoints

  • Direct secure messaging: whudak@direct.carene.org
  • Direct secure messaging: whudak@wih.cernerdirect.carene.org

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1295364362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 IMPERIAL PL",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 IMPERIAL PL UNIT 2D",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034642",
            "telephone_number": "401-727-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDAK",
        "first_name": "WHITNEY",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "CNM, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "RI",
            "license": "CNM00186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "whudak@wih.cernerdirect.carene.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "18 Imperial Pl Unit 2D",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029034642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.