Individual provider Active NPI

Tabitha Lynn Hudson, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Denver, CO
National Provider Identifier
1841099439
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.1000712-NP Issued in CO
Practice address
1500 N Grant St # 4513
Denver, CO 80203-1859
Phone
(303) 656-9587
Fax
(303) 656-2138
NPI assigned
Mar 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 116608-23 NH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.1000712-NP CO Primary

Addresses

Primary practice location

1500 N Grant St # 4513
Denver, CO 80203-1859

Mailing address

3720 Sinton Rd Ste 104
Colorado Springs, CO 80907-5085
Phone (719) 493-9555

Other practice location 1

221 Main St # 4125
Nashua, NH 03060-2913
Phone (303) 656-9299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250403003553 CO Practitioner - Nurse Practitioner 1254855919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bundukamara IncGroup PAC ID 2567714843, 8 clinicians

Practice addresses (Care Compare)

3720 Sinton Rd
Suite 104
Colorado Springs, CO 80907-5085
Phone (719) 493-9555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
116608-23NHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bundukamara Inc Psychiatric/Mental Health CurrentSince Apr 2, 2025 Accepting new patients

Locations

3720 Sinton Rd
Ste 104
Colorado Springs, CO 80907
Phone (719) 493-9555

Organizations & group practices 1

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": "1741305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1841099439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 SINTON RD STE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075085",
            "telephone_number": "719-493-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N GRANT ST # 4513",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031859",
            "telephone_number": "303-656-9587",
            "fax_number": "303-656-2138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Main St # 4125",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030602913",
            "country_code": "US",
            "telephone_number": "303-656-9299",
            "fax_number": "303-656-2138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "TABITHA",
        "middle_name": "LYNN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-07",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "116608-23",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.1000712-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.