MEDICARE: RACHEL HUDSON MA, CCC-SLP, IBCLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174N00000X	Lactation Consultant (Non-RN)	L-320614	FL
2	235Z00000X	Speech-Language Pathologist	SA20528	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538855960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL HUDSON MA, CCC-SLP, IBCLC

Provider Business Mailing Address
First Line	:	7628 DUNBRIDGE DR
Second Line	:
City	:	ODESSA
State	:	FL
Zip	:	33556-2258
Country	:	US
Telephone Number	:	330-445-9006
Fax Number	:

Provider Business Practice Location Address
First Line	:	3030 STARKEY BLVD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-2175
Country	:	US
Telephone Number	:	813-364-2391
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2023
Last Update Date	:	12/19/2025

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Directions to “ RACHEL HUDSON MA, CCC-SLP, IBCLC” Practice Location

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