Mary Jordan Vencill Hudnall, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

9337786 Issued in FL

Practice address

150 Clearwater Largo Rd N
Largo, FL 33770-2388

Phone

(727) 518-0822

Fax

(727) 518-6511

NPI assigned

Sep 29, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Ranjan Mahajan, MD PLC

  • Legal Medicine
  • Largo, FL
  • NPI 1114140324

  Adult Health

  Medicare reassignment NPD
• Ranjan Mahajan MD

  • Adult Health Nurse Practitioner
  • Largo, FL
  • NPI 1528519253
  NPD (past)

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1366991440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CLEARWATER LARGO RD N",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702388",
            "telephone_number": "727-518-0822",
            "fax_number": "727-518-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CLEARWATER LARGO RD N",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702388",
            "telephone_number": "727-518-0822",
            "fax_number": "727-518-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDNALL",
        "first_name": "MARY",
        "middle_name": "JORDAN VENCILL",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9337786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penny Lane Howland, MSW, LCSW
• Andrea M. Hrin, ARNP
• Tara Nicole Hrobowski-Blackman, M.D.
• Sameera Hublikar, OTR
• Hallie Lynn Hudgins Dedrick, CLD,CHBE
• Barbara Hudspeth, LMT
• Teresa Carol Hug, APN
• Mary Denise Hughes-Conlon, LMHC
• Chelsea Marie Hughes, MD
• William C Hulley III, DO

• Adult Health Nurse Practitioner in Largo, FL
• Providers in Largo, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.