MS. MARY LEE HUDSON (NPI# 1790925519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790925519 |
| Entity Type | Individual |
| Full Name | MS. MARY LEE HUDSON |
| Credential | BSW |
| Practice Address |
3019 W Missionwood Ln 35-a Miramar FL 33025-2943 |
| Practice Telephone | 9544327665 |
| Practice Fax Number | 9544331015 |
| Mailing Telephone | 9544327665 |
| Mailing Fax Number | 9544331015 |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2009-03-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 685561098 | 05 | |
| FL | 685561096 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457665051 | Mary S Hudson | Speech-Language Pathologist | 65 Columbia Ave, Brunswick, ME 04011-2901 | 2010-08-06 |
| 1295995199 | Mary Carol Hudson | Licensed Vocational Nurse | 1164 Hampton Rd, Sacramento, CA 95864-3842 | 2008-06-13 |
| 1720205776 | Mary Ann Hudson | Speech-Language Pathologist | 703 13th St, Phenix City, AL 36867-5038 | 2007-04-19 |
| 1649260662 | Mary A Hudson | Audiologist | 1200 N Stonewall Ave, John W Keys Speech and Hearing Center, Oklahoma City, OK 73117-1215 | 2005-10-21 |
| 1225539059 | Mary Hudson | Behavior Technician | 2075 Lincoln Ave Ste D, San Jose, CA 95125-3513 | 2018-02-27 |
| 1033665567 | Mary Hudson | Registered Nurse | 6605 W Central Ave, Toledo, OH 43617-1000 | 2016-08-25 |
| 1326478041 | Mary Casner Hudson | Physician Assistant | 255 N Herwaldt Dr, Fresno, CA 93701-2186 | 2013-11-15 |
| 1366886590 | Mary Hudson | Counselor | 1555 Ne Rice Rd, Lees Summit, MO 64086-5849 | 2013-04-18 |
| 1871890103 | Mary Hudson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37076 | 2011-02-23 |
| 1801109970 | Mary C Hudson | Nurse Anesthetist, Certified Registered | 310 E. 14th Street, Ny Eye & Ear Infirmary, New York, NY 10003 | 2010-07-19 |
| Street Address |
3019 W MISSIONWOOD LN 35-A |
| City | MIRAMAR |
| State | FL |
| Zip Code | 33025-2943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702329 | Ashley V Carter | Nutritionist | 3803 Sw 93rd Ave, Miramar, FL 33025 | 2019-10-24 |
| 1477024305 | Jeff Rocker | Counselor | 10700 City Center Blvd Apt 5245, Pembroke Pines, FL 33025 | 2018-12-17 |
| 1760959779 | Spring Health Inc | In Home Supportive Care | 1799 Sw 82nd Pl, Miramar, FL 33025 | 2018-10-28 |
| 1649763004 | Ann-marie Elizabeth Pryce | Nurse Practitioner | 8942 Sw 19th St, Miramar, FL 33025 | 2018-06-11 |
| 1588154876 | Michelle Angelle Crawford | Behavior Technician | 10630 Washington St Apt 103, Pembroke Pines, FL 33025 | 2018-05-14 |
| 1598267809 | Lydia Rosa Malcolm | Psychologist | 11820 Miramar Pkwy Ste 309, Miramar, FL 33025 | 2018-03-02 |
| 1447760657 | At Talitha Cumi Home Care, Inc. | Homemaker | 3140 Sw 120 Terr, Miramar, FL 33025 | 2017-10-03 |
| 1962924522 | Yenni Celina Cueto | Behavioral Analyst | 720 Sw 111th Ave Apt 303, Pembroke Pines, FL 33025 | 2017-07-14 |
| 1093236713 | Manoucheca Fabienne Phanord | Nurse Practitioner | 11575 City Hall Promenade, #4-150, Miramar, FL 33025 | 2017-07-03 |
| 1659801439 | Desiree Verina Nugent | Family Medicine | 3772 Sw 93rd Ave, Miramar, FL 33025 | 2017-06-14 |
| Find all providers in zip 33025 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917470 | Edgar Roberto Guacaneme | Case Manager/Care Coordinator | 3600 Garden Ln, Miramar, FL 33023-4974 | 2020-06-19 |
| 1003290735 | Maria Camila Rocha | Case Manager/Care Coordinator | 2557 Centergate Dr, #201, Miramar, FL 33025-7268 | 2015-07-13 |
| 1649650367 | Mayelin Guerrero | Case Manager/Care Coordinator | 7782 Juniper St, Miramar, FL 33023-5843 | 2015-06-08 |
| 1366846065 | Chevonne Linton, Inc | Case Manager/Care Coordinator | 9996 Olive St, Miramar, FL 33025-3202 | 2014-10-09 |
| 1669888624 | Physicians Mso Inc | Case Manager/Care Coordinator | 2063 Sw 195th Ave, Miramar, FL 33029-5920 | 2014-07-10 |
| 1588908248 | Daniel Amauri Gautreaux | Case Manager/Care Coordinator | 5132 Sw 129th Ter, Miramar, FL 33027-5839 | 2012-11-19 |
| 1831334192 | Essential Therapy Services, Inc. | Case Manager/Care Coordinator | 12881 Sw 30th St, Miramar, FL 33027-5303 | 2008-12-15 |
| 1467912121 | Hilda Maria Fernandez Calana | Case Manager/Care Coordinator | 3600 S State Road 7 Ste 252, Miramar, FL 33023-7207 | 2019-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023925 | Eddy David | Case Manager/Care Coordinator | 1118 Grayson Dr, Orlando, FL 32825-6724 | 2020-11-06 |
| 1316547615 | Kyomi Santana | Case Manager/Care Coordinator | 8100 Oak Ln Ste 4048100, Miami Lakes, FL 33016-5820 | 2020-10-27 |
| 1538768072 | Emma Eloisa Cruz | Case Manager/Care Coordinator | 1105 Cobblestone Cir Apt B, Kissimmee, FL 34744-5563 | 2020-10-24 |
| 1891394409 | Ariadna Cannet | Case Manager/Care Coordinator | 27583 Sw 143rd Ct, Homestead, FL 33032-8871 | 2020-10-23 |
| 1952900839 | Yipsia Mayrelis Cordovi Cancio | Case Manager/Care Coordinator | 3837 Sw 79th Ave Apt A, Miami, FL 33155-6755 | 2020-10-21 |
| 1326646985 | Lewis Connects | Case Manager/Care Coordinator | 885 Hickory Ave, Orange City, FL 32763-6864 | 2020-10-15 |
| 1821696071 | Dianelis Ramirez | Case Manager/Care Coordinator | 6245 Dell St, Orlando, FL 32809-4311 | 2020-10-10 |
| 1548867831 | Jessica Bickman | Case Manager/Care Coordinator | 1026 Replica Ave, Sebring, FL 33872-2720 | 2020-10-08 |
| 1447857123 | Omayra Rolon-rivera | Case Manager/Care Coordinator | 1371 Tuscana Ln Apt 6102, Davenport, FL 33896-5302 | 2020-10-05 |
| 1679180392 | Astrid C Montesinos Franco | Case Manager/Care Coordinator | 7656 Nw 5th St Apt 4f, Plantation, FL 33324-1940 | 2020-09-27 |
| Find all providers with the same taxonomy | ||||
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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.