Active NPI
Robin Rae Hudson
- Pediatrics Physician
- Bentonville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- E-7441
- Practice address
- 2719 SE I St
Bentonville, AR 72712-3996 - Phone
- (479) 273-5437
- Fax
- (479) 273-9932
- NPI assigned
- Mar 31, 2009
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | E-7441 | AR | Primary |
Addresses
Primary practice location
2719 SE I St
Bentonville, AR 72712-3996
Mailing address
2719 SE I Street
Bentonville, AR 72712
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 193450001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Arkansas College of Medicine, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Poston Rd
Charleston, SC 29407-3428
PO Box
Suite 421718
Georgetown, SC 29442
PO Box
Suite 421718
Georgetown, SC 29442-4203
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-7441 | AR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgetown Physician Associates LLC | Pediatrics | Current | Accepting new patients |
| Georgetown Physician Associates, LLC | Current | Accepting new patients | |
| Georgetown Physician Associates, LLC | Pediatrics | Current | Accepting new patients |
| Bentonville Pediatrics | Pediatrics | Past | Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients | |
| Northwest Arkansas Immunization | Pediatrics | Past | Accepting new patients |
| Georgetown Physician Services, LLC | Past | Accepting new patients |
Locations
2347 S Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-2443
4320 Holmestown Rd
Myrtle Beach, SC 29588
Phone (843) 546-3132
12117 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 237-8231
Interoperability endpoints
- livingtreepediatrics.robinhudson@132911.advancedmd-direct.com
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Murrells Inlet, SC
- NPI 1235475930
-
- Family Medicine Physician
- Georgetown, SC
- NPI 1881410587
Pediatrics
-
- Pediatrics Physician
- Myrtle Beach, SC
- NPI 1053967943
-
- Pediatrics Physician
- Bentonville, AR
- NPI 1356319164
-
- Pediatrics Physician
- Bentonville, AR
- NPI 1386944791
-
- Family Medicine Physician
- Pawleys Island, SC
- NPI 1962691402
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372377600000",
"number": "1396987772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2719 SE I STREET",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "72712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2719 SE I ST",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123996",
"telephone_number": "479-273-5437",
"fax_number": "479-273-9932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "ROBIN",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-31",
"last_updated": "2013-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AR",
"license": "E-7441",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "193450001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.