Individual provider Active NPI

Nancy Patricia Hudson, RN

  • Medical-Surgical Registered Nurse
  • West Columbia, SC
National Provider Identifier
1669696902
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
17602 Issued in SC
Practice address
1260 Lexington Dr
Department of Nursing
West Columbia, SC 29170-2176
Phone
(803) 822-6758
Fax
(803) 822-3343
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice Registered Nurse 163WH1000X 17602 SC
Medical-Surgical Registered Nurse 163WM0705X 17602 SC Primary

Addresses

Primary practice location

1260 Lexington Dr
Department of Nursing
West Columbia, SC 29170-2176

Mailing address

481 Hickory Hill Dr
Columbia, SC 29210-4659
Phone (803) 750-0328

Other names 1

  • Ms. Nancy Patricia Sullivan Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
17602SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Midlands Technical College Dental Clinic 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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1669696902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 HICKORY HILL DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104659",
            "telephone_number": "803-750-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 LEXINGTON DR",
            "address_2": "DEPARTMENT OF NURSING",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291702176",
            "telephone_number": "803-822-6758",
            "fax_number": "803-822-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "NANCY",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "SC",
            "license": "17602",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "SC",
            "license": "17602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "SULLIVAN",
            "middle_name": "PATRICIA",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.