Priscilla Teixeira Hudak

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

103137 Issued in NC

Practice address

2035 Valleygate Dr
Ste. 101
Fayetteville, NC 28304-3984

Phone

(910) 484-8009

NPI assigned

May 9, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: priscillahudak@rpf.allscriptsdirect.net
• Direct secure messaging: priscilla-hudak@ipcfayetteville.e-mdsdirect.com

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.

• Interventional Pain Center PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Fayetteville, NC
  • NPI 1558428789
  NPD
• Cross Creek Pediatrics

  • Specialist
  • Fayetteville, NC
  • NPI 1831279215
  NPD (past)
• Rainbow Pediatrics

  • Neonatal Nurse Practitioner
  • Fayetteville, NC
  • NPI 1699148445
  NPD (past)
• Rainbow Pediatrics of Fayetteville

  • Pediatrics Physician
  • Fayetteville, NC
  • NPI 1356439566
  NPD (past)

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1689841546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 VALLEYGATE DR",
            "address_2": "STE. 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043984",
            "telephone_number": "910-484-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 VALLEYGATE DR",
            "address_2": "STE. 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043984",
            "telephone_number": "910-484-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDAK",
        "first_name": "PRISCILLA",
        "middle_name": "TEIXEIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Hu
• Destinee Hua
• Ashli Hubler
• Lynn Marie Huck, ANP
• Pamela Hudak, PA-C
• David J. Huddleston, MD
• Kathleen Huddy, LPCA
• Brandi Hudson
• Carliyah Hudson
• Elizabeth Westbrook Hudson, PHARM.D., CPP, BCACP

• Physician Assistant in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.

Verify at the official NPI Registry.