Lauren B Hudspeth, PPCNP-BC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

25484 Issued in SC

Practice address

169 Laurelhurst Ave
Columbia, SC 29210-3825

Phone

(803) 733-5969

NPI assigned

Nov 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Lauren Pittard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lhudspeth@cpac.opdirect.net

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.

• Carolina Pediatrics & Adolescent Care, PA

  • Pediatrics Physician
  • Columbia, SC
  • NPI 1306805056

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1760148464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 SOUTHLAKE RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235911",
            "telephone_number": "843-442-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 LAURELHURST AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292103825",
            "telephone_number": "803-733-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSPETH",
        "first_name": "LAUREN",
        "middle_name": "B",
        "credential": "PPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "25484",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SC",
            "license": "25484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "PITTARD",
            "credential": "PPCNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ebony H Hudson, LCSW
• Jade Hudson
• Lindsey Michelle Hudson, APRN
• Mykala Hudson
• Odessa Hudson
• Derrick Adam Huey, MD
• Carl Wayne Huff, MD
• Cecilia Huff, RBT
• Kiley Huff
• Robert Brian Huff, MD

• Pediatric Nurse Practitioner in Columbia, SC
• Providers in Columbia, SC by specialty
• Pediatric Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.