Active NPI
Viviette Hudson, MSHCM
- Home Health Agency
- Ocoee, FL
National Provider Identifier
1780243238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 2393 Blake Way
Ocoee, FL 34761-8675 - Phone
- (407) 205-2415
- NPI assigned
- Jun 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9636300 | FL | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Lactation Consultant (Non-RN) | 174N00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Doula | 374J00000X | |||
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2393 Blake Way
Ocoee, FL 34761-8675
Mailing address
3801 Avalon Park East Blvd Ste 200
Orlando, FL 32828-4902
Phone (407) 205-2415
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | centurionhealthservices@gmail.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9636300 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1780243238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 AVALON PARK EAST BLVD STE 200",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328284902",
"telephone_number": "407-205-2415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2393 BLAKE WAY",
"city": "OCOEE",
"state": "FL",
"postal_code": "347618675",
"telephone_number": "407-205-2415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "VIVIETTE",
"credential": "MSHCM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-09",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9636300",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "centurionhealthservices@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2393 Blake Way",
"city": "Ocoee",
"state": "FL",
"country_code": "US",
"postal_code": "347618675",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.