Individual provider Active NPI

Alexandra Dione Hudak, FNP

  • Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1578186862
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
345396 Issued in NY
Practice address
1717 Will O Wisp Dr Ste 200
Virginia Beach, VA 23454-3102
Phone
(757) 481-4817
Fax
(757) 481-7138
NPI assigned
May 21, 2020
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 345396 NY Primary
Family Nurse Practitioner 363LF0000X 345396 NY

Addresses

Primary practice location

1717 Will O Wisp Dr Ste 200
Virginia Beach, VA 23454-3102

Mailing address

1717 Will O Wisp Dr Ste 200
Virginia Beach, VA 23454-3102
Phone (574) 814-8177

Other practice location 1

828 Healthy Way Ste 210
Virginia Beach, VA 23462-7960
Phone (757) 481-4817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200824000540 NY Practitioner - Nurse Practitioner 8820414709 Reassigns benefits to 1 organization
I20230703002532 VA Practitioner - Nurse Practitioner 8820414709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
345396NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Jul 1, 2020 Accepting new patients
Capital Digestive Care, LLC CurrentSince Jun 21, 2023 Accepting new patients
Capital Digestive Care LLC CurrentSince Jun 21, 2023 Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Capital Digestive Care ,LLC Current Accepting new patients

Locations

10770 Columbia Pike
Ste 400
Silver Spring, MD 20901
Phone (215) 589-9012

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

2625 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2570

113 Gainsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 436-3285

1717 Will O Wisp Dr
Ste 200
Virginia Beach, VA 23454
Phone (757) 481-4817

828 Healthy Way
Ste 210
Virginia Beach, VA 23462
Phone (757) 481-4817

Interoperability endpoints

  • Direct secure messaging: alexandra.hudak.1@22307.direct.athenahealth.com

Organizations & group practices 5

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": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1578186862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 WILL O WISP DR STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543102",
            "telephone_number": "574-814-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 WILL O WISP DR STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543102",
            "telephone_number": "757-481-4817",
            "fax_number": "757-481-7138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "828 Healthy Way Ste 210",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234627960",
            "country_code": "US",
            "telephone_number": "757-481-4817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDAK",
        "first_name": "ALEXANDRA",
        "middle_name": "DIONE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "345396",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345396",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.