Individual provider Active NPI

Valerie Ann Hudson

  • Registered Nurse
  • Sammamish, WA
National Provider Identifier
1568804656
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN00054500 Issued in WA
Practice address
4335 Issaquah Pine Lake Rd SE
Apt #1402
Sammamish, WA 98075-5285
Phone
(206) 240-0153
Fax
(206) 350-8977
NPI assigned
Jul 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00054500 WA Primary

Addresses

Primary practice location

4335 Issaquah Pine Lake Rd SE
Apt #1402
Sammamish, WA 98075-5285

Mailing address

4335 Issaquah Pine Lake Rd SE
Apt #1402
Sammamish, WA 98075-5285
Phone (206) 240-0153

Other names 1

  • Ms. Valerie Ann Hudson Professional name

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
RN00054500WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1568804656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4335 ISSAQUAH PINE LAKE RD SE",
            "address_2": "APT #1402",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980755285",
            "telephone_number": "206-240-0153",
            "fax_number": "206-350-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4335 ISSAQUAH PINE LAKE RD SE",
            "address_2": "APT #1402",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980755285",
            "telephone_number": "206-240-0153",
            "fax_number": "206-350-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "VALERIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00054500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "HUDSON",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "REGISTERED NURSE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sammamish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.