Individual provider Active NPI

Cindy A Hudson, M.S., R.D., L.D.

  • Registered Dietitian
  • Brandon, MS
National Provider Identifier
1649498908
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
D1138 Issued in MS
Practice address
307 Busick Wells Rd
Brandon, MS 39042-3603
Phone
(601) 941-3167
Fax
(601) 919-0974
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X D1138 MS Primary

Addresses

Primary practice location

307 Busick Wells Rd
Brandon, MS 39042-3603

Mailing address

307 Busick Wells Rd
Brandon, MS 39042-3603
Phone (601) 941-3167

Other identifiers 2

IdentifierTypeStateIssuer
D1138OtherMSMS DEPT OF HLTH DIETITIAN
914185OtherAMER. DIATETICS ASSC.

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)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Total Healthcare Solutions LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649498908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 BUSICK WELLS RD",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390423603",
            "telephone_number": "601-941-3167",
            "fax_number": "601-919-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 BUSICK WELLS RD",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390423603",
            "telephone_number": "601-941-3167",
            "fax_number": "601-919-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "CINDY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "M.S., R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MS",
            "license": "D1138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS DEPT OF HLTH DIETITIAN",
            "identifier": "D1138",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMER. DIATETICS ASSC.",
            "identifier": "914185",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.