Tia B Hudon PC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

TIA B HUDON PC

Practice address

2225 E Flamingo Rd Ste 105
Las Vegas, NV 89119-5126

Phone

(702) 487-7055

NPI assigned

Aug 1, 2016

Last updated

Sep 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tia B Hudon, FNPNPI 1285600502

Title

Owner

Phone

(702) 812-9613

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tia B Hudon, APN

  • Gerontology Nurse Practitioner
  • Las Vegas, NV
  • NPI 1285600502
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1487107041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 W LONGACRES DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 E FLAMINGO RD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195126",
            "telephone_number": "702-487-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIA B HUDON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-01",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "HUDON",
        "authorized_official_first_name": "TIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-812-9613",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antoinette Thurton
• Neelesh Thussu, M.D.
• Michael Thwing
• Chellron Thymes
• Thyroid & Diabetes Specialists of Las Vegas, Nakhle, M.D., PLLC (Thyroid & Diabetes Specialists of Las Vegas)
• Jhouleen Angelika Tam Tiamzon
• Chaorui Tian, M.D., PH.D.
• Jiaxin Tian
• Melissa Yuan Tian
• Sisi Tian, M.D.

• Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.