Individual provider Active NPI

Scotty D Hudson, A.P.

  • Acupuncturist
  • Orange City, FL
National Provider Identifier
1497910806
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP 2462 Issued in FL
Practice address
2445 S Volusia Ave Ste C4
Orange City, FL 32763-7626
Phone
(407) 690-7696
Fax
(407) 610-0287
NPI assigned
Jul 24, 2008
Last updated
Apr 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP2462 FL
Acupuncturist 171100000X AP 2462 FL Primary

Addresses

Primary practice location

2445 S Volusia Ave Ste C4
Orange City, FL 32763-7626

Mailing address

2445 S Volusia Ave Ste C4
Orange City, FL 32763-7626
Phone (407) 690-7696

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
AP 2462FLMDAcupuncturist
AP2462FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Authentic Oriental Healthcare, LLC Acupuncturist CurrentSince Apr 20, 2021 Accepting new patients

Locations

2445 S Volusia Ave
Ste C4
Orange City, FL 32763
Phone (386) 774-2085

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1497910806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 S VOLUSIA AVE STE C4",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637626",
            "telephone_number": "407-690-7696",
            "fax_number": "407-610-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 S VOLUSIA AVE STE C4",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637626",
            "telephone_number": "407-690-7696",
            "fax_number": "407-610-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "SCOTTY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "A.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-24",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2462",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 2462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.