Isabella Childress Hudson, CRNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1-147068 Issued in AL

Practice address

108 Medical Center Dr
Clanton, AL 35045-2332

Phone

(205) 755-5700

NPI assigned

Feb 14, 2019

Last updated

Jun 28, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Chilton Medical Group P C

  • Legal Medicine
  • Clanton, AL
  • NPI 1629121553
  Medicare reassignment NPD

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1962968974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MEDICAL CENTER DR",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350452332",
            "telephone_number": "205-755-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MEDICAL CENTER DR",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350452332",
            "telephone_number": "205-755-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "ISABELLA",
        "middle_name": "CHILDRESS",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-147068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP",
            "identifier": "1-147068",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Michelle Hobbs, CRNP
• Brittney Hogue, RPT
• Holistic Wellness Group, LLC
• Jared Hood, M.ED., LPC
• Whitney Diane Horton, ALC
• Michelle Lee Hudson, CRNP
• Hughes Chiropractic Clinic
• Tony Max Hughes Jr., DC
• Icpm, LLC (Chandler Drugs)
• Mary Marschner Ingram, P.T.

• Family Medicine Physician in Clanton, AL
• Providers in Clanton, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.