Individual provider Active NPI

Joanna Andracka Kudla, FNP-BC

  • Family Nurse Practitioner
  • Jacksonboro, SC
National Provider Identifier
1982392692
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27053 Issued in SC
Practice address
2137 Hope Plantation LN
Jacksonboro, SC 29452
Phone
(843) 513-9690
NPI assigned
May 1, 2023
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 27053 SC Primary

Addresses

Primary practice location

2137 Hope Plantation LN
Jacksonboro, SC 29452

Mailing address

2137 Hope Plantation LN
Jacksonboro, SC 29452
Phone (843) 513-9690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1982392692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2137 HOPE PLANTATION LN",
            "city": "JACKSONBORO",
            "state": "SC",
            "postal_code": "29452",
            "telephone_number": "843-513-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2137 HOPE PLANTATION LN",
            "city": "JACKSONBORO",
            "state": "SC",
            "postal_code": "29452",
            "telephone_number": "843-513-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRACKA KUDLA",
        "first_name": "JOANNA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "27053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonboro, SC

Sources for this page

Verify at the official NPI Registry.