Organization Active NPI

HDC Professional Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Vestavia Hills, AL
National Provider Identifier
1487310256
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HDC PROFESSIONAL SERVICES LLC
Practice address
3081 Lorna Rd Ste 101
Vestavia Hills, AL 35216-4509
Phone
(205) 960-5208
NPI assigned
Nov 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Authorized official

Name
Regina Rose Hudson de Corona, CRNP
Title
Sole Member
Phone
(205) 960-5208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3081 Lorna Rd Ste 101
Vestavia Hills, AL 35216-4509

Mailing address

2004 Hickory Rd
Vestavia Hills, AL 35216-1520
Phone (205) 960-5208

National Provider Directory

National Provider Directory

Locations

3081 Lorna Rd
Ste 101
Hoover, AL 35216
Phone (205) 960-5208

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1487310256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 HICKORY RD",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161520",
            "telephone_number": "205-960-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3081 LORNA RD STE 101",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352164509",
            "telephone_number": "205-960-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HDC PROFESSIONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "HUDSON DE CORONA",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "205-960-5208",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.