LATICE HUDSON NURSE PRACTITIONER
NPI 1134584915
Nurse Practitioner - Adult Health in Charlotte, NC

Q: What is Latice Hudson's NPI number?

The NPI number for Latice Hudson is 1134584915. It was assigned to this individual provider in the NPPES registry on December 22, 2015.

Q: What is Latice Hudson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Latice Hudson was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 22, 2015PECOS Enrolled

321 W 11TH ST, CHARLOTTE, NC 28202(704) 237-8793 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 2, 2022, Mar 9, 2022, Dec 22, 2015 (3 updates tracked since 2015).

On this page

About Latice Hudson Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LATICE HUDSON NURSE PRACTITIONER (NPI 1134584915) is an individual adult health provider in Charlotte, North Carolina, licensed in North Carolina (5016147) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1134584915

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameLATICE HUDSONCredential: NURSE PRACTITIONER

Location Address321 W 11TH STCharlotte, NC 28202-0092

Mailing Address4519 Canipe DrCharlotte, NC 28269-5013

Phone(704) 237-8793

Sole ProprietorYes

Enumeration DateDecember 22, 2015

Last NPPES UpdateMay 2, 20223 updates tracked since enumeration

NPPES CertifiedMay 2, 2022

✔ NPI 1134584915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NC · 5016147

Also ListedRegistered NurseTaxonomy 163W00000X · License 194321 (NC)

321 W 11TH ST, Charlotte, NC 28202

Open in Google Maps ↗

Secondary Practice Location 1

Location 15801 Executive Center Dr, Suite 200Charlotte, NC 28212-8861 · Phone (704) 567-0790

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Latice Hudson Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAO COMMUNITY PHARMACY

Pharmacy (Community/Retail Pharmacy)

321 W 11TH ST
CHARLOTTE, NC 28202

Mecklenburg County (704) 237-8793

RAO COMMUNITY HEALTH

Clinic/Center (Community Health)

321 W 11TH ST
CHARLOTTE, NC 28202

Mecklenburg County (704) 237-8793

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Latice Hudson's NPI number?

The NPI number for Latice Hudson is 1134584915. It was assigned to this individual provider in the NPPES registry on December 22, 2015.

Where is Latice Hudson located?

Latice Hudson practices at 321 W 11th St, Charlotte, NC 28202. The listed phone number is (704) 237-8793.

What is Latice Hudson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Latice Hudson enrolled in Medicare?

Yes. Latice Hudson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Latice Hudson was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.