Individual provider Active NPI

Keri Lenore Hudson, DNP, FNP-C

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1770935967
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
171974 Issued in TN
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

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 AssociatesGroup PAC ID 0941113757, 28 clinicians
Osh Mi Physicians Group, PCGroup PAC ID 7810282191, 154 clinicians

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

LicenseStateTypeSpecialty
171974TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Tennessee, PLLC CurrentSince Aug 13, 2023 Accepting new patients
Methodist Healthcare Community Care Associates CurrentSince Oct 31, 2016 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince Sep 11, 2023 Accepting new patients
Methodist Heatlhcare Community Care Associates CurrentSince Oct 31, 2016 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.