Individual provider Active NPI

Monica Hudson, DC

  • Chiropractor
  • Fort Myers, FL
National Provider Identifier
1861075145
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13423 Issued in FL
Practice address
14261 S Tamiami TRL Ste 4
Fort Myers, FL 33912-1912
Phone
(847) 212-1883
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13423 FL Primary

Addresses

Primary practice location

14261 S Tamiami TRL Ste 4
Fort Myers, FL 33912-1912

Mailing address

14261 S Tamiami TRL Ste 4
Fort Myers, FL 33912-1912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210922001322 FL Practitioner - Chiropractic 9335546183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mandm Chiropractic and Wellness, LLCGroup PAC ID 4981001724, 2 clinicians

Practice addresses (Care Compare)

14261 S Tamiami TRL
Suite 4
Fort Myers, FL 33912-1912
Phone (239) 935-7850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13423FLMDPastoral Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
M&M Chiropractic and Wellness, LLC Chiropractor CurrentSince Sep 15, 2021 Accepting new patients

Locations

14261 S Tamiami Trl
Ste 4
Fort Myers, FL 33912
Phone (239) 935-7850

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": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1861075145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14261 S TAMIAMI TRL STE 4",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14261 S TAMIAMI TRL STE 4",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121912",
            "telephone_number": "847-212-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "13423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.

Verify at the official NPI Registry.