Active NPI
Krystle Sue Hudnell
- Addiction (Substance Use Disorder) Counselor
- San Marcos, CA
National Provider Identifier
1922705276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 751 Rancheros Dr
San Marcos, CA 92069-3041 - Phone
- (760) 761-0515
- Fax
- (760) 761-0464
- NPI assigned
- Feb 7, 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CA | Primary |
Addresses
Primary practice location
751 Rancheros Dr
San Marcos, CA 92069-3041
Mailing address
751 Rancheros Dr
San Marcos, CA 92069-3041
Phone (760) 761-0515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023146826 | Other | CA | OTHER NON MEDICARE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1922705276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 RANCHEROS DR",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920693041",
"telephone_number": "760-761-0515",
"fax_number": "760-761-0464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 RANCHEROS DR",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920693041",
"telephone_number": "760-761-0515",
"fax_number": "760-761-0464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDNELL",
"first_name": "KRYSTLE",
"middle_name": "SUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-07",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER NON MEDICARE",
"identifier": "1023146826",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.