NPIMap

Individual provider Active NPI

Kim Hudnall

  • Community Health Worker
  • Bakersfield, CA
National Provider Identifier
1518503556
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
3817 Edith LN
Bakersfield, CA 93304-6703
Phone
(661) 834-7789
Fax
(661) 834-2340
NPI assigned
Nov 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

3817 Edith LN
Bakersfield, CA 93304-6703

Mailing address

3817 Edith LN
Bakersfield, CA 93304-6703
Phone (661) 834-7789

Other practice location 1

1216 Sandra Dr
Bakersfield, CA 93304-6143
Phone (661) 837-8096

Other practice location 2

1001 Meredith Dr
Bakersfield, CA 93304-6123
Phone (661) 397-3231

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unicorn Garden, Inc. Past Accepting new patients
Unicorn Garden, Inc. Past Accepting new patients
Unicorn Garden, Inc. Past Accepting new patients

Organizations & group practices 4

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": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1518503556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 EDITH LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933046703",
            "telephone_number": "661-834-7789",
            "fax_number": "661-834-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 EDITH LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933046703",
            "telephone_number": "661-834-7789",
            "fax_number": "661-834-2340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1216 Sandra Dr",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933046143",
            "country_code": "US",
            "telephone_number": "661-837-8096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Meredith Dr",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933046123",
            "country_code": "US",
            "telephone_number": "661-397-3231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDNALL",
        "first_name": "KIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.