Individual provider Active NPI

Simone Renee Hudson

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1720891807
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11039190 Issued in FL
Practice address
10911 Golden Acorn Ave
Tampa, FL 33610-9762
Phone
(813) 360-2614
NPI assigned
Jan 31, 2025
Last updated
Jul 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11039190 FL Primary

Addresses

Primary practice location

10911 Golden Acorn Ave
Tampa, FL 33610-9762

Mailing address

10911 Golden Acorn Ave
Tampa, FL 33610-9762
Phone (813) 360-2614

Other practice location 1

3919 Tampa Rd
Oldsmar, FL 34677-3114
Phone (727) 507-1901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250804000993 FL Practitioner - Nurse Practitioner 2668980467 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health and Psychiatrist Consultants LLCGroup PAC ID 4789736653, 10 clinicians

Practice addresses (Care Compare)

3919 Tampa Rd
Oldsmar, FL 34677-3114
Phone (727) 733-6111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11039190FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health & Psychiatrist Consultants LLC CurrentSince Jul 15, 2025 Accepting new patients
Ibis Healthcare Inc CurrentSince Jan 10, 2026 Accepting new patients

Locations

3919 Tampa Rd
Oldsmar, FL 34677
Phone (727) 733-6111

5707 N 22nd St
Tampa, FL 33610
Phone (813) 272-2244

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1720891807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10911 GOLDEN ACORN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336109762",
            "telephone_number": "813-360-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10911 GOLDEN ACORN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336109762",
            "telephone_number": "813-360-2614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3919 Tampa Rd",
            "address_purpose": "LOCATION",
            "city": "Oldsmar",
            "state": "FL",
            "postal_code": "346773114",
            "country_code": "US",
            "telephone_number": "727-507-1901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "SIMONE",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11039190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.