Individual provider Active NPI

Edna Hudson-Kinzey, MSN, ED, RN

  • Registered Nurse
  • Milwaukee, WI
National Provider Identifier
1669901104
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
124990 Issued in WI
Practice address
9235 W Capitol Dr # LL1
Milwaukee, WI 53222-1567
Phone
(414) 376-9258
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
High-Risk Obstetric Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WX0002X 041338963 IL
High-Risk Obstetric Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WX0002X 124990 WI
Maternal Newborn Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WM0102X 124990 WI
Medical-Surgical Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WM0705X 041338963 IL
Medical-Surgical Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WM0705X 124990 WI
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 041338963 IL
Maternal Newborn Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WM0102X 041338963 IL
Inpatient Obstetric Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WX0003X 124990 WI
Inpatient Obstetric Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WX0003X 041338963 IL
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 124990 WI Primary

Addresses

Primary practice location

9235 W Capitol Dr # LL1
Milwaukee, WI 53222-1567

Mailing address

8713 W Burleigh St Lowr
Milwaukee, WI 53222-3736
Phone (414) 517-9258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
124990WIMDRegistered Nurse
041338963ILMDHigh-Risk Obstetric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Right at Your Door Multi-Specialty CurrentSince Jun 14, 2020 Accepting new patients
Nature Is Nurturing Midwifery and Doula Services Registered Nurse CurrentSince Jun 14, 2020 Accepting new patients

Organizations & group practices 2

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1669901104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8713 W BURLEIGH ST LOWR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532223736",
            "telephone_number": "414-517-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9235 W CAPITOL DR # LL1",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221567",
            "telephone_number": "414-376-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON-KINZEY",
        "first_name": "EDNA",
        "credential": "MSN, ED, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Obstetric, High-Risk",
            "state": "IL",
            "license": "041338963",
            "primary": false
        },
        {
            "code": "163WX0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Obstetric, High-Risk",
            "state": "WI",
            "license": "124990",
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "WI",
            "license": "124990",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "IL",
            "license": "041338963",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "WI",
            "license": "124990",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041338963",
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "IL",
            "license": "041338963",
            "primary": false
        },
        {
            "code": "163WX0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "WI",
            "license": "124990",
            "primary": false
        },
        {
            "code": "163WX0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "IL",
            "license": "041338963",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "124990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.