Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Shontae Hudson

Individual provider Family Nurse Practitioner · NPI 1134895808

Kimberly Shontae Hudson is a Nurse Practitioner in Memphis, Tennessee. Qualified in 2020, 6 years ago. Practices with Methodist Healthcare Community Care Associates, a 27-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
6
Licensed in
TN
In the registry since
2021
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Practice location Address checks out

1803 Union Ave
Memphis, TN 38104-3942
Phone: (901) 722-3152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 29547 (TN)

Record details

NPI number1134895808
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 21, 2021
Last updated in NPPESAugust 28, 2021
Certification dateAugust 28, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Methodist Healthcare Community Care Associates — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Memphis