Active NPI
Tracey Hudson
- Audiologist
- Conway, AR
National Provider Identifier
1497262372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A438
- Practice address
- 515 Locust Ave
Conway, AR 72034-5324 - Phone
- (501) 327-5250
- Fax
- (501) 327-1464
- NPI assigned
- Jan 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | A438 | AR | |
| Audiologist | 231H00000X | A438 | AR | Primary |
Addresses
Primary practice location
515 Locust Ave
Conway, AR 72034-5324
Mailing address
515 Locust Street
515 Locust Street
Conway, AR 72034-5324
Phone (501) 327-5250
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A438 | AR | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1497262372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 LOCUST STREET",
"address_2": "515 LOCUST STREET",
"city": "CONWAY",
"state": "AR",
"postal_code": "720345324",
"telephone_number": "501-327-5250",
"fax_number": "501-327-1464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 LOCUST AVE",
"city": "CONWAY",
"state": "AR",
"postal_code": "720345324",
"telephone_number": "501-327-5250",
"fax_number": "501-327-1464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "TRACEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-02",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "AR",
"license": "A438",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AR",
"license": "A438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.