Active NPI
Thesa Hudson
- Registered Nurse
- Lynnwood, WA
National Provider Identifier
1306348800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 60572473
- Practice address
- 20420 68TH Ave W
Lynnwood, WA 98036-7405 - Phone
- (425) 431-3000
- NPI assigned
- Mar 1, 2018
- Last updated
- Mar 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 60572473 | WA | Primary |
Addresses
Primary practice location
20420 68TH Ave W
Lynnwood, WA 98036-7405
Mailing address
15631 Ash Way Apt A107
Lynnwood, WA 98087-5310
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
| License | State | Type | Specialty |
|---|---|---|---|
| 60572473 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519862400000",
"number": "1306348800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15631 ASH WAY APT A107",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980875310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20420 68TH AVE W",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980367405",
"telephone_number": "425-431-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "THESA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-01",
"last_updated": "2018-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "60572473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.