Mandy Hudson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

301686-1 Issued in NY

Practice address

319 Orwood PL
Syracuse, NY 13208-2447

Phone

(315) 476-0600

NPI assigned

Apr 13, 2011

Last updated

Apr 13, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1912297888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 ORWOOD PL",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132082447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 ORWOOD PL",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132082447",
            "telephone_number": "315-476-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "MANDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "301686-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael Hubbard, MD
• Kimberly Ann Hubbard, RN
• Monique Hubbard, LPN
• Kirsten Hubel
• Latreace Hudson, RN
• Tamika Hudson, LCSW-R
• Anthony Hueber, LCSW-R
• Alexis Marie Huff, MD
• Nancy Serrao Huffaker, D.D.S.
• Chelsea Hufnagle, MSOT, OTR/L

• Licensed Practical Nurse in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.