MR. LATANIA HUDSON (NPI# 1174024350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174024350 |
| Entity Type | Individual |
| Full Name | MR. LATANIA HUDSON |
| Other Name | LATINA BURKS HUDSON |
| Credential | AE-C, RN |
| Practice Address |
2220 Lemp Ave Saint Louis MO 63104-2700 |
| Mailing Address |
2245 Cottontail Dr Florissant MO 63033-1712 |
| Practice Telephone | 3146584893 |
| Practice Fax Number | 3148984926 |
| Mailing Telephone | 3144976638 |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 2006025679 | MO | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | XXXXXXXXXX | 05 |
| Street Address |
2220 LEMP AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63104-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418382 | Vani Pachalla | Family Medicine | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2005-06-22 |
| 1235794793 | Julia Tuberty Kiehl | Social Worker | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2019-05-09 |
| 1114466240 | Alexis Howell | Pharmacist | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2017-02-22 |
| 1427407972 | Kimberly Ann Henry | Nurse Practitioner | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2016-06-06 |
| 1144674441 | Michelle Mullin | Nurse Practitioner | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2016-04-22 |
| 1639595069 | Stephanie Miller | Nurse Practitioner | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2014-03-10 |
| 1629411814 | Kristy Sheree Moore | Dental Hygienist | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2013-04-08 |
| 1669710091 | Bindu Wagle | Pediatrics | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2013-01-18 |
| 1245582667 | Patricia W Gregg | Dental Hygienist | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2012-10-09 |
| 1295068757 | Grace Hill Neighborhood Health Ctr | Local Education Agency (LEA) | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2009-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
| 1174187264 | Ahsan Ali | Student in an Organized Health Care Education/Training Program | 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 | 2019-04-24 |
| 1205359916 | Brenda Eve Ladin | Behavior Technician | 1221 Allen Market Lane Rear, St. Louis, MO 63104 | 2017-07-25 |
| 1841722063 | Gustavo G Mendez | Student in an Organized Health Care Education/Training Program | 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 | 2017-03-28 |
| 1053776716 | Carmella Harper | Respiratory Therapist, Certified | 2678 Park Ave, St Louis, MO 63104 | 2015-12-23 |
| 1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
| 1306233341 | Healthcare R Us | Home Health | 2859 Sidney St, St Louis, MO 63104 | 2015-04-16 |
| 1396159091 | Daniela Hermelin | Pathology | 1402 South Grane, St. Louis, MO 63104 | 2014-06-20 |
| 1992117881 | Kelly Denise Durbin | Social Worker | 1920 S 7th St, Saint Louis, MO 63104 | 2014-05-27 |
| Find all providers in zip 63104 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760091623 | Kimberly Marie Besancenez | Registered Nurse | 777 S New Ballas Rd Ste 200e, Saint Louis, MO 63141-8718 | 2020-07-27 |
| 1093332215 | Ashley Letterman | Registered Nurse | 3668 S Geyer Rd # A, Saint Louis, MO 63127-1249 | 2020-07-03 |
| 1790301232 | Megan Farley | Registered Nurse | 4921 Parkview Pl Ste 6b, Saint Louis, MO 63110-1032 | 2020-06-20 |
| 1841815529 | Marla Simmons | Registered Nurse | 516 Kingdel Dr, Saint Louis, MO 63124-1976 | 2020-06-09 |
| 1467076414 | Julie Crawford | Registered Nurse | 7918 Martys Dr, Saint Louis, MO 63123-1548 | 2020-06-05 |
| 1366905440 | Rachael Otto | Registered Nurse | 118 Euclid St, Saint Louis, MI 48880-1901 | 2019-04-07 |
| 1902363997 | Denisha Nicole Morgan | Registered Nurse | 4973 Oleatha Ave, Saint Louis, MO 63139-1224 | 2019-02-26 |
| 1295200491 | Laura Baldridge | Registered Nurse | 10586 Sunset Pines Ct, Saint Louis, MO 63128-1254 | 2018-10-04 |
| 1811496003 | Aryn Kathleen Whiting | Registered Nurse | 3660 Vista Ave Ste 207208, Saint Louis, MO 63110-2540 | 2018-02-02 |
| 1003323288 | Elizabeth Burton Walden | Registered Nurse | 3660 Vista Ave Ste 207, Saint Louis, MO 63110-2540 | 2018-01-09 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.