Active NPI
Kyle Hudson
- Certified Registered Nurse Anesthetist
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 11033166
- Practice address
- 315 S Bonita Ave
Panama City, FL 32401-3961 - Phone
- (850) 832-2525
- NPI assigned
- Jun 6, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 11033166 | FL | |
| Nurse Practitioner | 363L00000X | 11033166 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 11033166 | FL | Primary |
Addresses
Primary practice location
315 S Bonita Ave
Panama City, FL 32401-3961
Mailing address
315 S Bonita Ave
Panama City, FL 32401-3961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Florida State University College of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3024 4TH St
Marianna, FL 32446-2125
Phone (850) 482-7200
4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 482-7200
449 W 23Rd St
Panama City, FL 32405-4507
Phone (954) 939-5000
Hospital & facility affiliations
- HCA Florida Gulf Coast Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11033166 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | Current | Accepting new patients |
| Jackson Anesthesia Associates Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | Current | Accepting new patients |
Locations
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
3024 4th St
Marianna, FL 32446
Phone (850) 258-3148
449 W 23rd St
Panama City, FL 32405
Phone (850) 747-7900
8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212
325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Gainesville, FL
- NPI 1164932901
-
- Certified Registered Nurse Anesthetist
- Marianna, FL
- NPI 1033168612
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Kissimmee, FL
- NPI 1902478431
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Panama City, FL
- NPI 1699721589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1801637335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 S BONITA AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324013961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 S BONITA AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324013961",
"telephone_number": "850-832-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "KYLE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-06",
"last_updated": "2024-11-15",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "11033166",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11033166",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "11033166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.