Individual provider Active NPI

Kaleigh Hudson, NP

  • Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1942883384
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-157225 Issued in AL
Practice address
6701 Airport Blvd Ste C138
Mobile, AL 36608-3784
Phone
(251) 333-3333
NPI assigned
May 4, 2021
Last updated
May 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-157225 AL Primary

Addresses

Primary practice location

6701 Airport Blvd Ste C138
Mobile, AL 36608-3784

Mailing address

8610 Gatewood Dr N
Mobile, AL 36619-4384
Phone (251) 391-2190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210610000648 AL Practitioner - Nurse Practitioner 9931509189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Physical Medicine and WellnessGroup PAC ID 2860670494, 3 clinicians

Practice addresses (Care Compare)

3929 Airport Blvd
Suite 100
Mobile, AL 36609-1987
Phone (251) 450-8044

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Physical Medicine & Wellness CurrentSince Aug 15, 2022 Accepting new patients

Locations

3929 Airport Blvd
Bldg 2
Mobile, AL 36609
Phone (251) 450-8044

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": "1620086400000",
    "number": "1942883384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 GATEWOOD DR N",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366194384",
            "telephone_number": "251-391-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE C138",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083784",
            "telephone_number": "251-333-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "KALEIGH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-157225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.