Zandi Watson Hudspeth, FNP
Individual provider Active NPI Family Nurse Practitioner · Amite, LA
NPI 1992076434 · NPPES record last updated May 25, 2012
Key facts
- NPI
- 1992076434
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP06717 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 4
Medicare Care Compare profile
- 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 la
Practice addresses (Care Compare)
301 Walnut St
Amite, LA 70422-2025
Phone (985) 748-9485
Hospital & facility affiliations
- Hood Memorial Hospital
- Lallie Kemp Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.36 of 100
- Quality
- 74.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.18
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120207000267 | LA | Practitioner - Nurse Practitioner | 1850558669 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP06717 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calcasieu Urgent Care LLC | Current |
Accepting new patients | |
| Calcasieu Urgent Care, LLC | Current |
Accepting new patients | |
| Hospital Service District 2 of the Parish of Tangipahoa State of la. | 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
- zandi.hudspeth.1@17916.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP06717 | LA | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3C974 | Other | LA | MEDICARE PTAN |
Other providers in Amite, LA
- Hospital Service District 2 of the Parish of Tangipahoa State of la.
- Hospital Service District 2 of the Parish of Tangipahoa State of la.
- Hospital Service District 2 of the Parish of Tangipahoa State of la.
- Hospital Service District 2 of the Parish of Tangipahoa State of la.
- Hospital Service District 2 of the Parish of Tangipahoa State of la.
- Inspire Intellect, LLC
- Byron Reynard Jackson Sr.
- Chantalyn Jackson
- Jacob Roger Smith DDS LLC
- Mary Jenkins
All providers in Amite, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.