Michelle Marie Hudimac, M.ED.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

201 Thornberry Branch LN
Daytona Beach, FL 32124-3652

Phone

(386) 872-4892

NPI assigned

Oct 13, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1790189264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 MAPLE GROVE CT",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321298618",
            "telephone_number": "814-288-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 THORNBERRY BRANCH LN",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321243652",
            "telephone_number": "386-872-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDIMAC",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina M Howard
• Caroline Rita Howe, M.D.
• Jennifer Howe
• Zoey Maxine Howell
• Jason Louis Hudgins
• Dane Huge, APRN
• Ashlee Hughes, MT-BC
• Douglas Mark Hughes, MD
• Samantha Hughes
• Christine Hulme

• Early Intervention Provider Agency in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Early Intervention Provider Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.