Individual provider Active NPI

Zandi Watson Hudspeth, FNP

  • Family Nurse Practitioner
  • Amite, LA
National Provider Identifier
1992076434
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP06717 Issued in LA
Practice address
309 Walnut St Ste a
Amite, LA 70422-2055
Phone
(985) 748-9812
Fax
(985) 247-2329
NPI assigned
Jan 13, 2012
Last updated
May 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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 AP06717 LA Primary

Addresses

Primary practice location

309 Walnut St Ste a
Amite, LA 70422-2055

Mailing address

309 Walnut St Ste a
Amite, LA 70422-2055
Phone (985) 748-9812

Other identifiers 1

IdentifierTypeStateIssuer
3C974OtherLAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20120207000267 LA Practitioner - Nurse Practitioner 1850558669 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Service District 2 of the Parish of Tangipahoa State of laGroup PAC ID 2163314949, shared by 4 NPIs, 13 clinicians

Practice addresses (Care Compare)

301 Walnut St
Amite, LA 70422-2025
Phone (985) 748-9485

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.36 of 100Reported as group
Quality
74.29
Promoting interoperability
100
Improvement activities
40
Cost
68.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Urgent Care, LLC CurrentSince Jan 8, 2024 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Jan 8, 2024 Accepting new patients
Hospital Service District 2 of the Parish of Tangipahoa State of la. Past Accepting new patients
Total Family Medical, LLC Past Accepting new patients

Locations

387 W Railroad Ave
Independence, LA 70443
Phone (931) 256-1110

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

Interoperability endpoints

  • Direct secure messaging: zandi.hudspeth.1@17916.direct.athenahealth.com

Organizations & group practices 6

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 4

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": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337904000000",
    "number": "1992076434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 WALNUT ST STE A",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704222055",
            "telephone_number": "985-748-9812",
            "fax_number": "985-247-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 WALNUT ST STE A",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704222055",
            "telephone_number": "985-748-9812",
            "fax_number": "985-247-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSPETH",
        "first_name": "ZANDI",
        "middle_name": "WATSON",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "3C974",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amite, LA

Sources for this page

Verify at the official NPI Registry.