Amy Colleen Hudson, RN

Primary specialty

Personal Emergency Response AttendantTaxonomy code 146D00000X

License

1-091624 Issued in AL

Practice address

1164 1St St N
Carbon Hill, AL 35549-4811

Phone

(205) 387-4646

Fax

(205) 387-4656

NPI assigned

Jan 17, 2008

Last updated

Jan 17, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1609052943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 1ST ST N",
            "city": "CARBON HILL",
            "state": "AL",
            "postal_code": "355494811",
            "telephone_number": "205-387-4646",
            "fax_number": "205-387-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1164 1ST ST N",
            "city": "CARBON HILL",
            "state": "AL",
            "postal_code": "355494811",
            "telephone_number": "205-387-4646",
            "fax_number": "205-387-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "AMY",
        "middle_name": "COLLEEN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "AL",
            "license": "1-091624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE NUMBER",
            "identifier": "1-091624",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER NUMBER",
            "identifier": "CC5WA04",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Personal Emergency Response Attendant in Carbon Hill, AL
• Providers in Carbon Hill, AL by specialty
• Personal Emergency Response Attendant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.