Active NPI
Kerri Jo Hudson, AU.D.
- Audiologist-Hearing Aid Fitter
- Pooler, GA
National Provider Identifier
1841602372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AUD003901
- Practice address
- 410 SW US Highway 80
Pooler, GA 31322-2541 - Phone
- (912) 748-9494
- NPI assigned
- Jun 2, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | AUD003901 | GA | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 23002229A | IN |
Addresses
Primary practice location
410 SW US Highway 80
Pooler, GA 31322-2541
Mailing address
410 SW US Highway 80
Pooler, GA 31322-2541
Phone (912) 748-9494
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 |
|---|---|---|---|
| AUD003901 | GA | MD | Audiologist-Hearing Aid Fitter |
| 23002229A | IN | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Audiology Inc. | Past | Accepting new patients |
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": "1401667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401667200000",
"number": "1841602372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 SW US HIGHWAY 80",
"city": "POOLER",
"state": "GA",
"postal_code": "313222541",
"telephone_number": "912-748-9494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 SW US HIGHWAY 80",
"city": "POOLER",
"state": "GA",
"postal_code": "313222541",
"telephone_number": "912-748-9494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "KERRI",
"middle_name": "JO",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-02",
"last_updated": "2014-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "GA",
"license": "AUD003901",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "IN",
"license": "23002229A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pooler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.