Haley Hudson

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95030833 Issued in CA

Practice address

1100 W Shaw Ave Ste 112
Fresno, CA 93711-3708

Phone

(559) 801-8944

NPI assigned

Jul 8, 2024

Sex

Female

Sole proprietor

No

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 CA

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Hudson Psychiatry and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Atascadero, CA
  • NPI 1760374383
  Medicare reassignment NPD Authorized official
• Vitalize a Professional Psychology Corporation

  • Adult Mental Health Clinic/Center
  • Fresno, CA
  • NPI 1215769104
  NPD (past)
• Vitalize Behavioral Health and Psychometrics Inc.

  • Adult Mental Health Clinic/Center
  • Fresno, CA
  • NPI 1386246197
  NPD (past)

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1376389452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E SHAW AVE STE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107619",
            "telephone_number": "559-605-4593",
            "fax_number": "559-234-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W SHAW AVE STE 112",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113708",
            "telephone_number": "559-801-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "HALEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95030833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rife E Huckabee, M.D.
• Karen Huckaby, MA, LMFT
• Jessica Janaye Michele Hudson-Blue, LCSW 134080
• Angela Christine Hudson, CADC-CAS
• Garrett Hudson
• Jessica Hudson, B..S.
• Mary Casner Hudson, MSPA
• Sara Megan Hudson
• Christopher David Huebner, MD
• Teresita Huerta Ellazar

• Psychiatric/Mental Health Nurse Practitioner in Fresno, CA
• Providers in Fresno, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.