Kirk Wayne Hudson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

803507 Issued in NY

Practice address

3482 Wilson Ave Apt 3B
Bronx, NY 10469-2312

Phone

(917) 794-0795

NPI assigned

Jun 15, 2021

Sex

Male

Sole proprietor

Yes

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": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1972171965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3482 WILSON AVE APT 3B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104692312",
            "telephone_number": "917-794-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3482 WILSON AVE APT 3B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104692312",
            "telephone_number": "917-794-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "KIRK",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "803507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hudson in Home Physical Therapy and Occupational Therapy PLLC
• Hudson in Home Physical Therapy PLLC
• Hudson Pointe Acquisition LLC
• Hudson River Healthcare, Inc.
• Hudson Solutions Medical Billing Services
• Sharonshay Hudson, RN, FNP PMHNP-BC DNP
• Suleyma Huerta Nava
• Betsy Huerta, RPA-C
• Agnes Huertas, M.H.C
• Joseph Huertas

• Registered Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.