Active NPI
Charlene Hudson, D.O
- Family Medicine Physician
- Virginia Beach, VA
National Provider Identifier
1760608954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A9818
- Practice address
- 2244 Sunstates CT
Suite 106
Virginia Beach, VA 23451-1552 - Phone
- (757) 256-7049
- Fax
- (757) 496-5817
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A9818 | CA | Primary |
Addresses
Primary practice location
2244 Sunstates CT
Suite 106
Virginia Beach, VA 23451-1552
Mailing address
2244 Sunstates CT
Suite 106
Virginia Beach, VA 23451-1552
Phone (757) 256-7049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A9818 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406160000000",
"number": "1760608954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2244 SUNSTATES CT",
"address_2": "SUITE 106",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234511552",
"telephone_number": "757-256-7049",
"fax_number": "757-496-5817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2244 SUNSTATES CT",
"address_2": "SUITE 106",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234511552",
"telephone_number": "757-256-7049",
"fax_number": "757-496-5817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "CHARLENE",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2014-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A9818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.