Kelsey Marie Hudson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5955 Issued in OR

Practice address

4000 Kruse Way PL Ste 3-245
Lake Oswego, OR 97035-5598

Phone

(503) 305-7244

NPI assigned

Apr 3, 2019

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

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Portland Sports and Injury Center LLC

  • Sports Physician Chiropractor
  • Lake Oswego, OR
  • NPI 1558586578
  Medicare reassignment NPD

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1649732140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 KRUSE WAY PL STE 3-245",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355598",
            "telephone_number": "503-305-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 KRUSE WAY PL STE 3-245",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355598",
            "telephone_number": "503-305-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "KELSEY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Howard
• Beth Ann Howell, M.D.
• Fernanda V Huang, M.D.
• Xiaofen Huang
• Shane Hubbell, BS
• Tanya Elizabeth Hudson, ND
• Timothy Howard Hudson, M.D.
• Carolyn Smith Hughes, LCSW
• Ryan J Hughes, D.D.S, M.S.
• Hummingbird Healing Psychotherapy LLC

• Chiropractor in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.