Individual provider Active NPI

Patricia Dianne Hudson, CRNA

  • Certified Registered Nurse Anesthetist
  • Coldwater, MS
National Provider Identifier
1700865649
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
11079 Issued in TN
Practice address
271 Golden Rd
Coldwater, MS 38618-7413
Phone
(662) 292-1301
NPI assigned
Jan 10, 2006
Last updated
Sep 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R705101 MS
Certified Registered Nurse Anesthetist 367500000X 11079 TN Primary

Addresses

Primary practice location

271 Golden Rd
Coldwater, MS 38618-7413

Mailing address

271 Golden Rd
Coldwater, MS 38618-7413
Phone (662) 292-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
11079TNMDEmergency Medicine Physician
R705101MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jun 1, 2016 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jun 1, 2016 Accepting new patients
SMG Anesthesia Specialists LLC CurrentSince Dec 9, 2020 Accepting new patients
Jonesboro Anesthesia Inc Past Accepting new patients
North Cypress Anesthesiology Associates Past Accepting new patients
Surgical Anesthesia Associates, PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Clarksdale Hma LLC Past Accepting new patients
Clarksdale Hma LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Medical Anesthesia Group, PA PastSince Feb 24, 1997 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
T M Anesthesia Assoc. PC Nurse Anesthetist, Certified Registered 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

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1700865649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 GOLDEN RD",
            "city": "COLDWATER",
            "state": "MS",
            "postal_code": "386187413",
            "telephone_number": "662-292-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 GOLDEN RD",
            "city": "COLDWATER",
            "state": "MS",
            "postal_code": "386187413",
            "telephone_number": "662-292-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "PATRICIA",
        "middle_name": "DIANNE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R705101",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "11079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.