Active NPI
Regina M Hudson, COTA/L
- Community Health Worker
- Madison, TN
National Provider Identifier
1689830614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 0549
- Practice address
- 431 Larkin Springs Rd
Madison, TN 37115-5005 - Phone
- (615) 865-8520
- NPI assigned
- Jul 30, 2008
- Last updated
- Jul 30, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 0549 | TN | Primary |
Addresses
Primary practice location
431 Larkin Springs Rd
Madison, TN 37115-5005
Mailing address
2348 Crocker Springs Rd
Goodlettsville, TN 37072-9445
Phone (615) 498-6708
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 |
|---|---|---|---|
| 0549 | TN | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217376000000",
"number": "1689830614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2348 CROCKER SPRINGS RD",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370729445",
"telephone_number": "615-498-6708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 LARKIN SPRINGS RD",
"city": "MADISON",
"state": "TN",
"postal_code": "371155005",
"telephone_number": "615-865-8520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "REGINA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-30",
"last_updated": "2008-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "TN",
"license": "0549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, TN
- Hti Memorial Hospital Corporation (Tennessee Christian Medical Center)
- Hti Memorial Hospital Corporation (Tennessee Christian Medical Center)
- Hti Memorial Hospital Corporation (Tristar Skyline Medical Center)
- Alexandra Abbott Hudson
- Erica Nicole Hudson
- Victoria Cole Hudson
- Danielle Hulgan, PT
- Lynnette Huller
- James Foster Hungler
- Hallee Hunt
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.