Active NPI
Jason Richard Hudson
- Driver
- Columbus, OH
National Provider Identifier
1487333951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- RU665333
- Practice address
- 1072 Gary Dr
Columbus, OH 43207-4272 - Phone
- (614) 317-6766
- NPI assigned
- Jul 12, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | RU665333 | OH | Primary |
Addresses
Primary practice location
1072 Gary Dr
Columbus, OH 43207-4272
Mailing address
1072 Gary Dr
Columbus, OH 43207-4272
Phone (614) 317-6766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114606670 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RU665333 | OH | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JC Reliable Transportation LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Private Vehicle
- Columbus, OH
- NPI 1538999412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689465600000",
"number": "1487333951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1072 GARY DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432074272",
"telephone_number": "614-317-6766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1072 GARY DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432074272",
"telephone_number": "614-317-6766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "JASON",
"middle_name": "RICHARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-12",
"last_updated": "2023-07-16",
"certification_date": "2023-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "OH",
"license": "RU665333",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114606670",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.