Connie K Hudson, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA00202 Issued in TX

Practice address

6414 Fannin St Ste G150
Houston, TX 77030-1514

Phone

(832) 325-7125

Fax

(713) 512-2200

NPI assigned

Jul 11, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: chudson11416@direct.uth.org

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.

• Memorial Southwest Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1831124114
  NPD (past)
• Ut Physicians

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1033157821
  NPD (past)
• Ut Physicians

  • Health Educator
  • Houston, TX
  • NPI 1316534472
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1447285036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301173",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753031173",
            "telephone_number": "713-500-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6414 FANNIN ST STE G150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301514",
            "telephone_number": "832-325-7125",
            "fax_number": "713-512-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "CONNIE",
        "middle_name": "K",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA00202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89BN454",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184605701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Christina Hudson, N.P.
• Bernita Hudson
• Brenda Anne Hudson, P.T.A.
• Caroline Hudson, M.D.
• Chelsie Hudson, CRNA
• Daphne Hudson
• Hannah Hudson, PT, DPT
• Ikeisha Nicole Hudson, M.S., CCC-SLP
• Jeffrey Hudson
• Jessica A Hudson, M.D.

• Surgical Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.