Individual provider Active NPI

Brittany Ann Hudgins, NP

  • Acute Care Nurse Practitioner
  • New York, NY
National Provider Identifier
1457721797
Registry record updated Jul 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
430993 Issued in NY
Practice address
1275 York Ave
New York, NY 10065
Phone
(212) 639-2000
NPI assigned
Sep 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-137457 AL
Acute Care Nurse Practitioner 363LA2100X 430993 NY Primary

Addresses

Primary practice location

1275 York Ave
New York, NY 10065

Mailing address

155 E 31St St Apt 27K
New York, NY 10016-0155

Other practice location 1

150 55th St
Brooklyn, NY 11220-2508
Phone (256) 622-0417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160201000339 AL Practitioner - Nurse Practitioner 9436453131 Reassigns benefits to 1 organization
I20190904002192 NY Practitioner - Nurse Practitioner 9436453131 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-137457ALMDAcute Care Nurse Practitioner
430993NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ballard Pain & Wellness Inc CurrentSince Nov 23, 2015 Accepting new patients
Memorial Hematology Lymphoma Group CurrentSince Jul 12, 2019 Accepting new patients
Memorial Clinical Physiology Group CurrentSince Mar 1, 2020 Accepting new patients
Memorial Hematology Lymphoma Group CurrentSince Jul 12, 2019 Accepting new patients

Locations

7067 Veterans Pkwy
Ste 210
Pell City, AL 35125
Phone (205) 405-7348

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563667200000",
    "number": "1457721797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E 31ST ST APT 27K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10065",
            "telephone_number": "212-639-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 55th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112202508",
            "country_code": "US",
            "telephone_number": "256-622-0417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDGINS",
        "first_name": "BRITTANY",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-29",
        "last_updated": "2019-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-137457",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "430993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.