DR. KELLYE LADAWN HUDSON DNP PMHNP-BC NPI 1164583829

NPI Information

  • NPI: 1164583829
  • Provider Name: DR. KELLYE LADAWN HUDSON, DNP, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 117 FOREST CT
    KNOXVILLE, TN
    ZIP 37919
  • Phone: (865) 409-5695

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NPI Details

DR. Kellye Ladawn Hudson, DNP, PMHNP-BC is a psychiatric/mental health nurse practitioner in Knoxville, TN. DR. Kellye Ladawn Hudson, DNP, PMHNP-BC NPI is 1164583829. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

117 FOREST CT
KNOXVILLE, TN
ZIP 37919-078
Phone: (865) 409-5695

The NPI 1164583829 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 12/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1106H00000XMarriage & Family Therapist0000000527TENNESSEENo
2163W00000XRegistered NurseRN0000162019TENNESSEENo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthAPN0000014218TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11506809MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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