Active NPI
Julie Kristine Hudgens, COTA/L
- Occupational Therapy Assistant
- Magnolia, AR
National Provider Identifier
1508387036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OT-A1184
- Practice address
- 6 Azalea
Magnolia, AR 71753-2274 - Phone
- (870) 312-6557
- NPI assigned
- Jul 6, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OT-A1184 | AR | Primary |
Addresses
Primary practice location
6 Azalea
Magnolia, AR 71753-2274
Mailing address
6 Azalea
Magnolia, AR 71753-2274
Phone (870) 312-6557
Other practice location 1
400 W 23rd St
Hope, AR 71801
Phone (870) 777-3448
Other practice location 2
117 E 2nd St
Hope, AR 71801-4402
Phone (870) 722-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT-A1184 | Other | AR | ARKANSAS STATE MEDICAL BOARD |
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 |
|---|---|---|---|
| OT-A1184 | AR | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1508387036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 AZALEA",
"city": "MAGNOLIA",
"state": "AR",
"postal_code": "717532274",
"telephone_number": "870-312-6557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 AZALEA",
"city": "MAGNOLIA",
"state": "AR",
"postal_code": "717532274",
"telephone_number": "870-312-6557"
}
],
"practiceLocations": [
{
"address_1": "400 W 23rd St",
"address_purpose": "LOCATION",
"city": "Hope",
"state": "AR",
"postal_code": "71801",
"country_code": "US",
"telephone_number": "870-777-3448",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "117 E 2nd St",
"address_purpose": "LOCATION",
"city": "Hope",
"state": "AR",
"postal_code": "718014402",
"country_code": "US",
"telephone_number": "870-722-2700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUDGENS",
"first_name": "JULIE",
"middle_name": "KRISTINE",
"name_prefix": "Mrs.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-06",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AR",
"license": "OT-A1184",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARKANSAS STATE MEDICAL BOARD",
"identifier": "OT-A1184",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Magnolia, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.