Active NPI
Samantha Hudson
- Behavior Technician
- Grand Rapids, MI
National Provider Identifier
1295644557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4893 E Beltline Ave NE Ste 310
Grand Rapids, MI 49525-9787 - Phone
- (616) 279-6414
- Fax
- (616) 588-5950
- NPI assigned
- Sep 3, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
4893 E Beltline Ave NE Ste 310
Grand Rapids, MI 49525-9787
Mailing address
4893 E Beltline Ave NE Ste 310
Grand Rapids, MI 49525-9787
Other names 1
- Sam Hudson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1295644557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4893 E BELTLINE AVE NE STE 310",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4893 E BELTLINE AVE NE STE 310",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259787",
"telephone_number": "616-279-6414",
"fax_number": "616-588-5950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-03",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAM",
"last_name": "HUDSON",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.