CRYSTAL HUDSON (NPI# 1558723270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558723270 |
| Entity Type | Individual |
| Full Name | CRYSTAL HUDSON |
| Credential | NP |
| Practice Address |
105 Glen Oak Blvd Suite 200 Hendersonville TN 37075-6424 |
| Mailing Address |
120 Poplar Grove Rd Westmoreland TN 37186-2520 |
| Practice Telephone | 6158226716 |
| Practice Fax Number | 6158229805 |
| Mailing Telephone | 6155724287 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
20986 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629589171 | Crystal Hudson | Counselor | 32e, 1200 N Telegraph Rd, Pontiac, MI 48341 | 2017-10-23 |
| 1174099733 | Crystal Hudson | Physician Assistant | 2146 Vindale Rd, Tavares, FL 32778-5602 | 2018-10-22 |
| Street Address |
105 GLEN OAK BLVD SUITE 200 |
| City | HENDERSONVILLE |
| State | TN |
| Zip Code | 37075-6424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427040021 | Michael C Diaz | Internal Medicine | 105 Glen Oak Blvd, Suite 200, Hendersonville, TN 37075-6424 | 2005-08-19 |
| 1124438601 | Sumner Physician Practices LLC | Internal Medicine | 105 Glen Oak Blvd, Suite 200, Hendersonville, TN 37075-6424 | 2014-05-05 |
| 1164855862 | William Barney Smith, M.d. | Allergy & Immunology | 105 Glen Oak Blvd, Suite 204, Hendersonville, TN 37075-6424 | 2013-08-16 |
| 1811330574 | Lauren Webb | Nurse Practitioner | 105 Glen Oak Blvd, Suite 204, Hendersonville, TN 37075-6424 | 2013-04-12 |
| 1083890719 | Jennifer Perdue | Nurse Practitioner | 105 Glen Oak Blvd, Suite 204, Hendersonville, TN 37075-6424 | 2008-01-11 |
| 1871559278 | William Barney Smith | Specialist | 105 Glen Oak Blvd, Suite 204, Hendersonville, TN 37075-6424 | 2006-04-25 |
| 1245213909 | James H Carmack Jr. | Internal Medicine | 105 Glen Oak Blvd, Suite 100, Hendersonville, TN 37075-6424 | 2005-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667425 | Results-ast Jv, LLC | Physical Therapist | 326 New Shackle Island Rd, Suite 300, Hendersonville, TN 37075 | 2020-10-21 |
| 1871126524 | Jessica Elise Williams | Nurse Practitioner | 100 Indian Lake Blvd, Hendersonville, TN 37075 | 2020-02-20 |
| 1003379108 | Infusion Express of Tennessee, PC | Clinic/Center | 1006 Glenbrook Way, Ste 130, Hendersonville, TN 37075 | 2019-04-08 |
| 1417414335 | Red Owl Industries, LLC | Chiropractor | 16 Executive Park Dr # 100, Hendersonville, TN 37075 | 2019-02-27 |
| 1992203368 | Cassie Berman | Occupational Therapist | 209 Shivel Drive, Hendersonville, TN 37075 | 2018-01-31 |
| 1407379373 | Hendersonville Smiles Dentistry, PC | Dentist | 1002 Glenbrook Way, Suite 200, Hendersonville, TN 37075 | 2017-07-21 |
| 1215483466 | Ryan Escue | Registered Nurse | 4221 Harding Pike, Nashville, TN 37075 | 2016-08-28 |
| 1003279589 | Grant Anderson | Physician Assistant | 211 Indian Lake Bloulevard, Hendersonville, TN 37075 | 2016-04-01 |
| 1073974192 | Jennifer Kramer | Nurse Practitioner | 103 Hazel Path Ct, Suite 7, Hendersonville, TN 37075 | 2016-03-16 |
| 1144680315 | Catherine Alexandria Wellendorf | Specialist/Technologist | 3126 Long Hollow Pike, Hendersonville, TN 37075 | 2016-03-02 |
| Find all providers in zip 37075 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756824 | Deishia Warren | Nurse Practitioner | 245 Indian Lake Blvd Apt E204, Hendersonville, TN 37075-6326 | 2020-09-28 |
| 1093320715 | Tajsier Hughes | Nurse Practitioner | 196 Breakwater Dr, Hendersonville, TN 37075-5679 | 2020-09-10 |
| 1881206282 | Alex John Morsey | Nurse Practitioner | 100 Indian Lake Rd, Hendersonville, TN 37075-3821 | 2020-08-18 |
| 1063023729 | Courtney Frensley | Nurse Practitioner | 102 Indian Lake Rd, Hendersonville, TN 37075-3821 | 2020-08-14 |
| 1588295471 | Heather Kristen Truelove | Nurse Practitioner | 109 Meadow Lake Dr, Hendersonville, TN 37075-5533 | 2020-01-29 |
| 1518506369 | Caroline Mauldin | Nurse Practitioner | 353 New Shackle Island Rd Ste 140c, Hendersonville, TN 37075-2366 | 2019-12-26 |
| 1760959423 | Windy Michelle Rhoton | Nurse Practitioner | 127 Herons Nest Ln, Hendersonville, TN 37075-4760 | 2018-10-30 |
| 1871084442 | Charly Lynn Taylor | Nurse Practitioner | 264 New Shackle Island Rd Ste 107, Hendersonville, TN 37075-2481 | 2018-05-19 |
| 1518457647 | Nicole Dyanne Mumford | Nurse Practitioner | 109 Hazel Path Ste 7, Hendersonville, TN 37075-3888 | 2018-05-14 |
| 1073974192 | Jennifer Kramer | Nurse Practitioner | 103 Hazel Path Ct, Suite 7, Hendersonville, TN 37075 | 2016-03-16 |
| Find all providers in HENDERSONVILLE | ||||
| City | HENDERSONVILLE |
| Zip Code | 37075 |
Please comment or provide details below to improve the information on CRYSTAL HUDSON.
| 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.