Ginny Lyn Hudson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

334365 Issued in NY

Practice address

848 Peirson Ave
Newark, NY 14513-9762

Phone

(315) 331-2086

NPI assigned

May 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1790342772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 PEIRSON AVE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145139762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 PEIRSON AVE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145139762",
            "telephone_number": "315-331-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "GINNY",
        "middle_name": "LYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "334365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara L Holderbaum-Dober, PA
• Home Meal Service, Inc
• Kyle D Houser, M.ED., M.A., CBIST
• Crystal Howard, RN, RA
• Brianne Alissa Howell, P.A.
• Seung Hur, M.D.
• Joan M Hurley, R.PH.
• Amanda Rose Hutteman, CCC-SLP
• Andrea Lorene Ide, PT
• Nancy Jean Ide, LPN

• Licensed Practical Nurse in Newark, NY
• Providers in Newark, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.