Individual provider Active NPI

Charlette L Hudson

  • Home Health Registered Nurse
  • Omaha, NE
National Provider Identifier
1477441475
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
49178 Issued in NE
Practice address
12020 Shamrock PLZ Ste 200
Omaha, NE 68154-3537
Phone
(402) 212-6930
Fax
(402) 884-5071
NPI assigned
Jun 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 49178 NE Primary

Addresses

Primary practice location

12020 Shamrock PLZ Ste 200
Omaha, NE 68154-3537

Mailing address

3025 Rainwood Rd
Omaha, NE 68112-1443
Phone (402) 212-1633

Other practice location 1

12020 Shamrock Plz Ste 200
Omaha, NE 68154-3537
Phone (402) 212-6930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
49178NEMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1477441475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 RAINWOOD RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681121443",
            "telephone_number": "402-212-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12020 SHAMROCK PLZ STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543537",
            "telephone_number": "402-212-6930",
            "fax_number": "402-884-5071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12020 Shamrock Plz Ste 200",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681543537",
            "country_code": "US",
            "telephone_number": "402-212-6930",
            "fax_number": "402-884-5071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "CHARLETTE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NE",
            "license": "49178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.