Active NPI
Sabrina Marie Hudson
- Home Health Aide
- Holly Springs, MS
National Provider Identifier
1659808582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 800905715
- Practice address
- 675 W Lake Dr
Holly Springs, MS 38635-1604 - Phone
- (662) 216-3921
- NPI assigned
- May 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 800905715 | MS | Primary |
Addresses
Primary practice location
675 W Lake Dr
Holly Springs, MS 38635-1604
Mailing address
675 W Lake Dr
Holly Springs, MS 38635-1604
Phone (662) 216-3921
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 800905715 | MS | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1659808582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 W LAKE DR",
"city": "HOLLY SPRINGS",
"state": "MS",
"postal_code": "386351604",
"telephone_number": "662-216-3921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 W LAKE DR",
"city": "HOLLY SPRINGS",
"state": "MS",
"postal_code": "386351604",
"telephone_number": "662-216-3921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "SABRINA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "MS",
"license": "800905715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holly Springs, MS
- Doris Marie Hervey, LMSW
- Holly Springs Eyecare PLLC (Magnolia Eye Group)
- Holly Springs Family Medical LLC
- Holly Springs Rehabilitation and Healthcare Center, LLC
- Holly Springs School District
- Shantanika Hunt
- I.V. Care, Inc.
- IV Care Inc (Tyson HomeCare)
- Zhenya Jarrett
- Cherodrick Marquis Jeffries, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.