Individual provider Active NPI

Triana Lynn Hudson

  • Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1396339396
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28958 Issued in TN
Practice address
111 Stonebridge Blvd
Jackson, TN 38305-2040
Phone
(731) 427-8888
Fax
(731) 265-4159
NPI assigned
Feb 22, 2021
Last updated
Apr 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28958 TN Primary

Addresses

Primary practice location

111 Stonebridge Blvd
Jackson, TN 38305-2040

Mailing address

111 Stonebridge Blvd
Jackson, TN 38305-2040
Phone (731) 427-7888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20210324001937 TN Practitioner - Nurse Practitioner 7214344985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Noma PCGroup PAC ID 0840589255, 7 clinicians

Practice addresses (Care Compare)

111 Stonebridge Blvd
Jackson, TN 38305-2040
Phone (731) 427-7888

Merit-based Incentive Payment System (MIPS)

Final score
68.9 of 100Reported as group
Quality
45.42
Promoting interoperability
75
Improvement activities
40
Cost
71.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Noma, PC CurrentSince Feb 12, 2021 Accepting new patients
Carl W. Huff, MD, PC PastSince Feb 12, 2021 Accepting new patients

Locations

111 Stonebridge Blvd
Jackson, TN 38305
Phone (731) 410-6777

569 Skyline Dr
Ste 100
Jackson, TN 38301
Phone (731) 427-7888

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: triana.hudsonnp.p1@direct.sportsorthospine.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1396339396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 STONEBRIDGE BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052040",
            "telephone_number": "731-427-7888",
            "fax_number": "731-265-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 STONEBRIDGE BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052040",
            "telephone_number": "731-427-8888",
            "fax_number": "731-265-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "TRIANA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "28958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.