Lisa Jordan Hudson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

901828 Issued in MS

Practice address

171 South St
Caledonia, MS 39740-8587

Phone

(662) 855-0080

Fax

(662) 855-0082

NPI assigned

Sep 27, 2017

Last updated

May 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Columbus, MS, CCN 257110
• Mississippi Homecare of Eupora Home health agency, Eupora, MS, CCN 257122
• BMH-Golden Triangle Hospital, Columbus, MS, CCN 250100

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23614/brand/1/csg/1/fhir/r4
• Direct secure messaging: lisa.hudson.1@23614.direct.athenahealth.com

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.

• Caledonia Community Clinic, LLC

  • Family Medicine Physician
  • Caledonia, MS
  • NPI 1619552130
  Medicare reassignment NPD Authorized official
• JTB Healthcare Consulting Inc

  dba East Columbus Family Practice and Chiropractic

  • Family Nurse Practitioner
  • Columbus, MS
  • NPI 1376724237
  NPD (past)
• JTB Healthcare Consulting Inc

  dba Columbus Family Practice

  • Family Nurse Practitioner
  • Columbus, MS
  • NPI 1922548288
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Able Home Health, Inc.

  dba Mississippi HomeCare of Eupora

  • Home Health Agency
  • Eupora, MS
  • NPI 1659483196
  Care Compare affiliation
• Baptist Memorial Hospital - Golden Triangle Inc.

  • General Acute Care Hospital
  • Columbus, MS
  • NPI 1609830173
  Care Compare affiliation
• Home Health Care Affiliates of Mississippi, Inc.

  dba CenterWell Home Health

  • Home Health Agency
  • Columbus, MS
  • NPI 1770589822
  Care Compare affiliation

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1528577012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2294 STEENS VERNON RD",
            "city": "STEENS",
            "state": "MS",
            "postal_code": "397669508",
            "telephone_number": "662-251-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 SOUTH ST",
            "city": "CALEDONIA",
            "state": "MS",
            "postal_code": "397408587",
            "telephone_number": "662-855-0080",
            "fax_number": "662-855-0082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110B Alabama St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397025221",
            "country_code": "US",
            "telephone_number": "662-327-0444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "LISA",
        "middle_name": "JORDAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Comer
• Kelsey Melane Dement
• Fig Leaf, LLC (Caledonia Community Clinic)
• Misty S Glasgow, OTR
• Golden Triangle Family Eye Care, PLLC (Caledonia Vision Center)
• Jrco, LLC (Caledonia Medical Care)
• Maegan Mattison, CLPN
• Joachim Yves McKinney, PHARM D
• Pioneer Health Services of Monroe County, Inc (Pioneer Family Medical of Caledonia)
• Nicholas Thomas Richardson, O.D.

• Family Nurse Practitioner in Caledonia, MS
• Providers in Caledonia, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.