Active NPI
Keri Lenore Hudson, DNP, FNP-C
- Family Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 171974
- Practice address
- 3360 N Watkins St
Memphis, TN 38127-6432 - Phone
- (901) 401-7150
- Fax
- (901) 347-1285
- NPI assigned
- Jul 12, 2016
- 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 Nurse Practitioner | 363LF0000X | 171974 | TN | Primary |
Addresses
Primary practice location
3360 N Watkins St
Memphis, TN 38127-6432
Mailing address
PO Box 746725
Atlanta, GA 30374-6725
Phone (601) 533-7017
Other names 1
- Keri Lenore Yates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161012000423 | TN | Practitioner - Nurse Practitioner | 0941598684 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Methodist Healthcare Community Care AssociatesOsh Mi Physicians Group, PC
Practice addresses (Care Compare)
1803 Union Ave
Suite 2
Memphis, TN 38104-3910
Phone (901) 722-3136
3360 N Watkins St
Memphis, TN 38127-6432
Phone (901) 401-7150
8035 Club Pkwy
Cordova, TN 38016-5977
Phone (901) 758-6035
8071 Winchester Rd
Memphis, TN 38125-8206
Phone (901) 756-6056
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171974 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Street Health Physicians Group of Tennessee, PLLC | Current | Accepting new patients | |
| Methodist Healthcare Community Care Associates | Current | Accepting new patients | |
| Osh Mi Physicians Group, PC | Current | Accepting new patients | |
| Methodist Heatlhcare Community Care Associates | Current | Accepting new patients | |
| Methodist Healthcare Community Care Associates | Current | Accepting new patients | |
| Osh-Mi Physicians Group PC | Family | Past | Accepting new patients |
| Adult Primary Care of Memphis PC | Past | Accepting new patients |
Locations
8035 Club Pkwy
Cordova, TN 38016
Phone (901) 758-6035
1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954
8071 Winchester Rd
Memphis, TN 38125
Phone (901) 367-9001
3360 N Watkins St
Memphis, TN 38127
Phone (901) 353-4603
Interoperability endpoints
- khudson29145@mlh.direct-ci.com
Organizations & group practices 9
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.
-
- Urgent Care Clinic/Center
- Cordova, TN
- NPI 1194839241
TN
-
- Urgent Care Clinic/Center
- Olive Branch, MS
- NPI 1821272501
-
- Primary Care Clinic/Center
- Detroit, MI
- NPI 1700236478
-
- Corporate Health Clinic/Center
- Memphis, TN
- NPI 1699941195
-
- Urgent Care Clinic/Center
- Memphis, TN
- NPI 1124277967
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1760116172
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1376738906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1770935967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746725",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746725",
"telephone_number": "601-533-7017",
"fax_number": "601-533-7016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3360 N WATKINS ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381276432",
"telephone_number": "901-401-7150",
"fax_number": "901-347-1285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "KERI",
"middle_name": "LENORE",
"credential": "DNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-12",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "171974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KERI",
"last_name": "YATES",
"middle_name": "LENORE",
"credential": "DNP, FNP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.