NPIMap

Individual provider Active NPI

Kadara K Hudson, NP-C

  • Family Nurse Practitioner
  • Charleston, WV
National Provider Identifier
1588055362
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN71888 Issued in WV
Practice address
3200 Maccorkle Ave SE
Charleston, WV 25304-1297
Phone
(304) 388-8240
Fax
(304) 388-8238
NPI assigned
Feb 14, 2015
Last updated
Jul 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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 APRN71888-NP-C WV
Family Nurse Practitioner 363LF0000X APRN71888 WV Primary

Addresses

Primary practice location

3200 Maccorkle Ave SE
Charleston, WV 25304-1297

Mailing address

501 Morris St
Charleston, WV 25301-1326

Other practice location 1

3375 US Route 60
Huntington, WV 25705-2837
Phone (304) 525-7851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150721001264 WV Practitioner - Nurse Practitioner 0941513881 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

150 Courthouse Rd
Suite 301B
Princeton, WV 24740-2450
Phone (304) 425-0162

3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432

3948 Teays Valley Rd
Hurricane, WV 25526-8728

400 Association Dr
Suite 102
Charleston, WV 25311-1298

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432

702 Professional Park Dr
Suite 104
Summersville, WV 26651-2033
Phone (304) 872-0035

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
APRN71888-NP-CWVMDNurse Practitioner
APRN71888WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. CurrentSince May 30, 2023 Accepting new patients
Prestera Center for Mental Health Services Inc Current Accepting new patients
Charleston Area Medical Center Inc CurrentSince May 30, 2023 Accepting new patients
Passages LLC CurrentSince Dec 4, 2024 Accepting new patients
Prestera Center for Mental Health Services Inc Family CurrentSince Dec 31, 2016 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Mountaineer Homecare, LLC Past Accepting new patients

Locations

99 Cracker Barrel Dr
Ste 100
Barboursville, WV 25504
Phone 30452578512514

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

511 Morris St
Charleston, WV 25301
Phone (304) 341-0511

800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550

376 Kenmore Dr
Danville, WV 25053
Phone (304) 369-1930

410 31st St
Huntington, WV 25702
Phone (304) 525-9100

Organizations & group practices 7

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1423872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1588055362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MORRIS ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041297",
            "telephone_number": "304-388-8240",
            "fax_number": "304-388-8238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3375 US Route 60",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257052837",
            "country_code": "US",
            "telephone_number": "304-525-7851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "KADARA",
        "middle_name": "K",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-14",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "APRN71888-NP-C",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN71888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.