Active NPI
Alexandra Susan Hudson, M.D.
- Pediatric Gastroenterology Physician
- Seattle, WA
National Provider Identifier
1902597255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- MDFE.FE.61412664
- Practice address
- 4800 Sand Pointe Way NE
Division of Pediatric Gastroenterology, Seattle Child
Seattle, WA 98105 - Phone
- (587) 572-8727
- NPI assigned
- May 17, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | MDFE.FE.61412664 | WA | Primary |
Addresses
Primary practice location
4800 Sand Pointe Way NE
Division of Pediatric Gastroenterology, Seattle Child
Seattle, WA 98105
Mailing address
10975 76 Avenue NW
Edmonton, ALBERTA T6G0J6
CA
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDFE.FE.61412664 | WA | MD | Pediatric Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1902597255",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "10975 76 AVENUE NW",
"city": "EDMONTON",
"state": "ALBERTA",
"postal_code": "T6G0J6"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 SAND POINTE WAY NE",
"address_2": "DIVISION OF PEDIATRIC GASTROENTEROLOGY, SEATTLE CHILD",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98105",
"telephone_number": "587-572-8727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "ALEXANDRA",
"middle_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-17",
"last_updated": "2023-11-16",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "WA",
"license": "MDFE.FE.61412664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.