Jennifer Michelle Hudman, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

M0759 Issued in TX

Practice address

909 Southeast Pkwy
Suite 101
Azle, TX 76020-3693

Phone

(817) 237-9225

Fax

(817) 237-9363

NPI assigned

Jan 3, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jennifer Hudman, M.D., P.a.

  • Pediatrics Physician
  • Azle, TX
  • NPI 1972886497
  NPD Authorized official

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1619955432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 SOUTHEAST PKWY",
            "address_2": "SUITE 101",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760203453",
            "telephone_number": "817-270-2320",
            "fax_number": "817-270-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SOUTHEAST PKWY",
            "address_2": "SUITE 101",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760203693",
            "telephone_number": "817-237-9225",
            "fax_number": "817-237-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDMAN",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M0759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175887201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janie Darlene Holder, R EEG T, CNIM
• Homegrown Counseling LLC
• Ngan Tu Hong, RPH
• John Edward Hoover, D.D.S.
• Jana Liane Howell, COTA
• Hunter Humble
• Linda Hutton, LVN
• Michelle Trunk Jacobs, DDS
• Jennifer Hudman, M.D., P.a.
• Ashvin John, DMD

• Pediatrics Physician in Azle, TX
• Providers in Azle, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.