Ericka J Hudson, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP9196368 Issued in FL

Practice address

1812 US Highway 19
Holiday, FL 34691-5535

Phone

(727) 943-0300

Fax

(727) 943-0339

NPI assigned

Dec 4, 2006

Last updated

Dec 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ericka J Mondol Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1679641906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 LUDINGTON AVE",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335437603",
            "telephone_number": "813-417-1117",
            "fax_number": "813-872-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 US HIGHWAY 19",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346915535",
            "telephone_number": "727-943-0300",
            "fax_number": "727-943-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "ERICKA",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9196368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ARNP9196368",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICKA",
            "last_name": "MONDOL",
            "middle_name": "J",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Holiday Surgery Center Limited Partnership L L P
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• Home Medical Visits LLC
• Home Medical Visits, Inc
• David Huber, D.C.
• Aubrey Ann Hunnicutt, CD-L, CBC
• Integrated Medical Group Incorporated
• Hayath Javeed, MD
• Najam Javeed, MD
• Shahina Javeed, MD

• Nurse Practitioner in Holiday, FL
• Providers in Holiday, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.

Verify at the official NPI Registry.