TIA B HUDON (NPI# 1285600502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285600502 |
| Entity Type | Individual |
| Full Name | TIA B HUDON |
| Credential | APN |
| Practice Address |
2225 E Flamingo Rd Ste 105 Las Vegas NV 89119-5126 |
| Mailing Address |
180 W Longacres Dr Henderson NV 89015-7914 |
| Practice Telephone | 7028778625 |
| Mailing Telephone | 7024877055 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2019-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APN000747 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | RAILROAD MEDICARE | P00091698 | 01 |
| NV | 100500741 | 05 |
| Street Address |
2225 E FLAMINGO RD STE 105 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-5126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902371677 | Khalid A Kamal Md | Physical Medicine & Rehabilitation | 2225 E Flamingo Rd Ste 105, Las Vegas, NV 89119-5126 | 2018-10-09 |
| 1073033528 | Mullissa Childress | Nurse Practitioner | 2225 E Flamingo Rd Ste 105, Las Vegas, NV 89119-5126 | 2017-06-26 |
| 1487107041 | Tia B Hudon PC | Licensed Practical Nurse | 2225 E Flamingo Rd Ste 105, Las Vegas, NV 89119-5126 | 2016-08-01 |
| 1396790838 | Khalid A Kamal | Physical Medicine & Rehabilitation | 2225 E Flamingo Rd Ste 105, Las Vegas, NV 89119-5126 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451471 | Jhouleen Angelika Tam Tiamzon | Nurse Practitioner | 3510 E Tropicana Ave Ste K, Las Vegas, NV 89121-7341 | 2020-09-15 |
| 1649783754 | Maxine Millicent Webster | Nurse Practitioner | 2851 N Tenaya Way Ste 101, Las Vegas, NV 89128-0453 | 2017-11-10 |
| 1700302791 | Marissa Schanbacher Adolfo | Nurse Practitioner | 848 Paseo Cerro Pl, Las Vegas, NV 89138-6096 | 2017-08-21 |
| 1467987487 | Judith L. Tan | Nurse Practitioner | Summerlin Hospital, 657 N Town Center Dr, Las Vegas, NV 89144 | 2017-04-27 |
| 1366852352 | Thomas Arpad Sharon | Nurse Practitioner | 922 West Owens Avenue, Las Vegas, NV 89106 | 2014-04-30 |
| 1568469773 | Aloycha Li De La Roche | Nurse Practitioner | 6100 Iron Kettle St, Las Vegas, NV 89130-1065 | 2005-07-01 |
| 1588263248 | Makon Amazing Gifted Hands Pllc | Nurse Practitioner | 8275 S Eastern Ave, Suite 200, Las Vegas, NV 89123-2545 | 2020-10-22 |
| 1578171864 | Iliana Britt | Nurse Practitioner | 2968 E Russell Rd, Las Vegas, NV 89120-2453 | 2020-07-22 |
| 1689216434 | Luis Rodriguez | Nurse Practitioner | 1000 S Rainbow Blvd, Las Vegas, NV 89145-6231 | 2019-10-14 |
| 1518519511 | Michelle R Phillips | Nurse Practitioner | 620 Shadow Ln, Las Vegas, NV 89106-4119 | 2019-07-10 |
| Find all providers in LAS VEGAS | ||||
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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.