SHAMECA HUDSON (NPI# 1619362977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619362977 |
Entity Type | Individual |
Full Name | SHAMECA HUDSON |
Credential | DNP, FNP-BC,PMHNP-BC |
Practice Address |
274 Cobbville Dr E Canton MS 39046 |
Mailing Address |
274 Cobbville Dr E Canton MS 39046-3130 |
Practice Telephone | 6018552402 |
Mailing Telephone | 6015197077 |
Enumeration Date | 2015-04-03 |
Last Update Date | 2018-06-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R883555 | MS | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R883555 | MS | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
274 COBBVILLE DR E |
City | CANTON |
State | MS |
Zip Code | 39046 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043858053 | Pediatric Haven | Skilled Nursing Facility | 112 Westfalen Drive, Canton, MS 39046 | 2019-12-20 |
1932743176 | Stacey Elizabeth Aldridge | Social Worker | 210 E Peace Street, Canton, MS 39046 | 2019-10-31 |
1881245736 | Mildred Loving | Technician | 323 Shady Lane, Canton, MS 39046 | 2019-09-23 |
1295384683 | Betty Bass | Technician | 693 Miggins Road, Canton, MS 39046 | 2019-09-09 |
1972081644 | Charles Brayden Jones | Physical Therapist | 276 Nissan Pkwy Ste 400, Canton, MS 39046 | 2018-08-03 |
1013436062 | Andrew J Breland | Counselor | 210 E Peace St, Canton, MS 39046 | 2017-09-11 |
1801318290 | Mississippi Enjoy Breastfeeding Shalom Resource Center | Clinic/Center | 343 Smith Street, Canton, MS 39046 | 2017-07-07 |
1144644386 | Margaret Reimers Beckwith | Chiropractor | 124 Links Drive, I-103, Canton, MS 39046 | 2014-02-07 |
1053753194 | Tanya Linette Calhoun | Nurse Practitioner | 1171 Hart Street, Canton, MS 39046 | 2013-07-17 |
1235470139 | First Step Community Care LLC | Chore Provider | 2633 South Liberty St, Ste B, Canton, MS 39046 | 2013-03-04 |
Find all providers in zip 39046 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922666866 | Bright Minds Psychiatry,pllc | Nurse Practitioner | 575 Washington St Ste 1b, Canton, MA 02021-3011 | 2019-06-05 |
1366914970 | Nancy Louise Bennett | Nurse Practitioner | 328 E Otto St, Canton, MS 39046-4324 | 2018-12-20 |
1790227544 | Priscilla Anne Rice | Nurse Practitioner | 1271 Fulton Rd Nw, Canton, OH 44703-1463 | 2016-11-10 |
1306824784 | Kathy E Green | Nurse Practitioner | 80 State St # 310, Canton, NY 13617-1026 | 2006-01-05 |
1053944298 | Megen Yerman | Nurse Practitioner | 624 Market Ave N, Canton, OH 44702-1017 | 2020-02-17 |
1285279901 | Grace Elizabeth Maxton | Nurse Practitioner | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2019-11-18 |
1417502535 | Tiffany Nichol Brown | Nurse Practitioner | 1223 Market Ave N, Canton, OH 44714-2603 | 2019-08-06 |
1568022051 | Christopher Fogarty | Nurse Practitioner | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2019-06-17 |
1184105223 | Elizabeth Pfalzgraf | Nurse Practitioner | 919 2nd St Ne, Canton, OH 44704-1132 | 2018-08-27 |
1629556949 | Judy Chava | Nurse Practitioner | 400 Tuscarawas St W, Canton, OH 44702 | 2018-07-30 |
Find all providers in CANTON |
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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.