TIA B HUDON PC
NPI 1487107041
Nurse Practitioner in Las Vegas, NV

Active since August 01, 2016
2225 E FLAMINGO RD STE 105, LAS VEGAS, NV 89119(702) 487-7055 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 27, 2024, Nov 1, 2019 (2 updates tracked since 2019).

About Tia B Hudon Pc NPPES

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

TIA B HUDON PC (NPI 1487107041) is a healthcare organization registered as a nurse practitioner in Las Vegas, Nevada and active in the NPI registry since August 2016. The organization lists Tia B Hudon, Owner, as its authorized official.

NPPES Registry Identity

NPI1487107041
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameTIA B HUDON PC
Location Address2225 E FLAMINGO RD STE 105Las Vegas, NV 89119-5126
Mailing Address180 W Longacres DrHenderson, NV 89015-7914
Organization SubpartNo
Authorized OfficialTia B HudonOwner · (702) 812-9613
Enumeration DateAugust 1, 2016
Last NPPES UpdateSeptember 27, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
✔ NPI 1487107041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2225 E FLAMINGO RD STE 105, Las Vegas, NV 89119

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tia B Hudon Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tia B Hudon PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1285600502
2225 E FLAMINGO RD STE 105
Las Vegas, NV 89119
(702) 877-8625
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Tia B Hudon PC's NPI number?

The NPI number for Tia B Hudon PC is 1487107041. It was assigned to this organization in the NPPES registry on August 1, 2016.

Where is Tia B Hudon PC located?

Tia B Hudon PC is located at 2225 E Flamingo Rd Ste 105, Las Vegas, NV 89119. The listed phone number is (702) 487-7055.

What is Tia B Hudon PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tia B Hudon PC enrolled in Medicare?

Yes. Tia B Hudon PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tia B Hudon PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Tia B Hudon PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tia B Hudon PC accept?

Health plans from Molina Healthcare list Tia B Hudon PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tia B Hudon PC was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.