Active NPI
Edythe E Hudson, ARNP/PA
- Women's Health Nurse Practitioner
- Gig Harbor, WA
National Provider Identifier
1972605491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- AP300000806
- Practice address
- 11511 Canterwood Blvd NW
Suite 145
Gig Harbor, WA 98332-5813 - Phone
- (253) 530-2955
- Fax
- (253) 530-2970
- NPI assigned
- Sep 4, 2006
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | AP300000806 | WA | Primary |
Addresses
Primary practice location
11511 Canterwood Blvd NW
Suite 145
Gig Harbor, WA 98332-5813
Mailing address
11511 Canterwood Blvd NW
Suite 145
Gig Harbor, WA 98332-5813
Phone (253) 530-2955
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0266728 | Other | WA | STATE L&I |
| 0260536 | Other | WA | STATE L&I |
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)
- Enrolled
- Credentials
- Nurse Practitioner, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP300000806 | WA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Past | Accepting new patients | |
| Kitsap Urology Associates, PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurological Surgery Physician
- Federal Way, WA
- NPI 1386857530
-
- Urology Physician
- Bremerton, WA
- NPI 1699875377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299110400000",
"number": "1972605491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11511 CANTERWOOD BLVD NW",
"address_2": "SUITE 145",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983325813",
"telephone_number": "253-530-2955",
"fax_number": "253-530-2970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11511 CANTERWOOD BLVD NW",
"address_2": "SUITE 145",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983325813",
"telephone_number": "253-530-2955",
"fax_number": "253-530-2970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "EDYTHE",
"middle_name": "E",
"credential": "ARNP/PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-04",
"last_updated": "2011-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "WA",
"license": "AP300000806",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0266728",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0260536",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.