Individual provider Active NPI

Joanna Nicole Hawkins-Hudson, CSFA

  • Surgical Assistant
  • Krum, TX
National Provider Identifier
1578283024
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
206881 Issued in TX
Practice address
518 N 2ND St
Krum, TX 76249-5117
Phone
(214) 227-2457
Fax
(214) 764-0880
NPI assigned
Sep 2, 2022
Last updated
Sep 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 206881 TX Primary

Addresses

Primary practice location

518 N 2ND St
Krum, TX 76249-5117

Mailing address

3905 Melcer Dr Ste 601
Rowlett, TX 75088-4033
Phone (214) 227-2457

Other names 1

  • Joanna Nicole Hudson Former 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
206881TXMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Surgical Assisting LLC Surgical Assistant CurrentSince Sep 4, 2022 Accepting new patients

Locations

3905 Melcer Dr
Ste 601
Rowlett, TX 75088
Phone (817) 360-8775

Organizations & group practices 1

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": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1578283024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 MELCER DR STE 601",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884033",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 N 2ND ST",
            "city": "KRUM",
            "state": "TX",
            "postal_code": "762495117",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS-HUDSON",
        "first_name": "JOANNA",
        "middle_name": "NICOLE",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "206881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "HUDSON",
            "middle_name": "NICOLE",
            "credential": "CSFA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Krum, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.