Patricia Dianne Hudson, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Coldwater, MS
NPI 1700865649 · NPPES record last updated Sep 1, 2016
Key facts
- NPI
- 1700865649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 11079 (TN)
- Practice address
- 271 Golden Rd
Coldwater, MS 38618-7413 - Phone
- (662) 292-1301
- NPI assigned
- Jan 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 13
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160808000795 | WI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0446232458 | Reassigns benefits to 1 organization |
| I20210315000794 | VA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0446232458 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11079 | TN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SMG Anesthesia Specialists LLC | Current |
Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current |
Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current |
Accepting new patients | |
| Clarksdale Hma LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| T M Anesthesia Assoc. PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Clarksdale Hma LLC | Past | Accepting new patients | |
| Jonesboro Anesthesia Inc | Past | Accepting new patients | |
| North Cypress Anesthesiology Associates | Past | Accepting new patients | |
| Medical Anesthesia Group, PA | Past |
Accepting new patients | |
| Surgical Anesthesia Associates, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Nurse Anesthesia of North Carolina, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Katy West Houston Anesthesia PA | Past | Accepting new patients | |
| Anesthesia Healthcare Partners of Tennessee PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
1051 Loftis Blvd
Newport News, VA 23606
Phone (757) 736-9898
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000
2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R705101 | MS | |
| Certified Registered Nurse Anesthetist | 367500000X | 11079 | TN | Yes |
Addresses
Primary practice location
271 Golden Rd
Coldwater, MS 38618-7413
Mailing address
271 Golden Rd
Coldwater, MS 38618-7413
Phone (662) 292-1301
Other providers in Coldwater, MS
- Funderburks Pharmacy Inc
- Guardian Angel Transportation
- Brittany Kelly Harris
- Elizabeth Harris
- Ashley L Helton
- Cachet Evet King
- Kristopher Alan May
- Ellen Algee McCormick
- Multimodality Pain & Wellness Center
- Anthony Newson
All providers in Coldwater, MS · Certified Registered Nurse Anesthetist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.