KELLY LEMIEUX DUDLEY (NPI# 1053781492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053781492 |
| Entity Type | Individual |
| Full Name | KELLY LEMIEUX DUDLEY |
| Other Name | KELLY-LYNN LEMIEUX |
| Credential | NP-C |
| Practice Address |
250 Arsenal St Augusta ME 04330-5742 |
| Practice Telephone | 2076243967 |
| Mailing Telephone | 2076243967 |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
CNP151078 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801310081 | Kelly Rose Dudley | Social Worker | 215 S Barnes Ave, Springfield, MO 65802-2204 | 2017-07-31 |
| 1336498880 | Kelly N Dudley | Counselor | 2345 S Lynhurst Dr, Suite 112, Indianapolis, IN 46241 | 2012-08-30 |
| Street Address |
250 ARSENAL ST |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330-5742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053319566 | State of Maine | Psychiatric Hospital | 250 Arsenal St, Augusta, ME 04333-0011 | 2005-07-08 |
| 1427686484 | Karen Sherlock | Registered Nurse | 250 Arsenal St, Augusta, ME 04330-3599 | 2020-03-27 |
| 1316592892 | Demetra Keith | Nurse Practitioner | 250 Arsenal St, Augusta, ME 04330-5742 | 2019-08-01 |
| 1730732967 | Jorie W Ohlson | Nurse Practitioner | 250 Arsenal St, Augusta, ME 04330-3599 | 2019-07-17 |
| 1144766734 | Jason Grundstrom-whitney | Counselor | 250 Arsenal St, Augusta, ME 04330-5742 | 2017-01-06 |
| 1801263520 | Sarah Perry | Pharmacist | 250 Arsenal St, Augusta, ME 04330-5742 | 2015-08-28 |
| 1285027318 | Lorraine Zamudio | Psychologist | 250 Arsenal St, Augusta, ME 04330-5742 | 2015-03-13 |
| 1962819201 | Susan Fasulo | Social Worker | 250 Arsenal St, State House Station 11, Augusta, ME 04330-5742 | 2014-07-18 |
| 1003042185 | Regana Contini Sisson | Psychiatry & Neurology | 250 Arsenal St, Augusta, ME 04333-0011 | 2009-06-03 |
| 1295986982 | Ingrid Prikryl | Dentist | 250 Arsenal St, Augusta, ME 04330-5742 | 2008-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720634397 | Meredith Carr | Nurse Practitioner | 3121 Peach Orchard Rd Ste 103, Augusta, GA 30906-3531 | 2019-08-10 |
| 1922652809 | Brooke L Defrancisco | Nurse Practitioner | 820 Saint Sebastian Way Ste 2f, Augusta, GA 30901-2636 | 2019-07-29 |
| 1831751510 | Miriah Lee Deveau | Nurse Practitioner | 1 Va Ctr, Augusta, ME 04330-6719 | 2019-07-02 |
| 1750856282 | Caitlin Elizabeth Pye | Nurse Practitioner | 1348 Walton Way Ste 5100, Augusta, GA 30901-5108 | 2018-10-11 |
| 1144709320 | Lori Roth Tucker | Nurse Practitioner | 2011 Windsor Spring Rd, Augusta, GA 30906-4957 | 2018-08-09 |
| 1265879761 | Tranika C Brown | Nurse Practitioner | 3121 Peach Orchard Rd, #103, Augusta, GA 30906-3521 | 2013-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407240930 | Housecall4u | Nurse Practitioner | 347 N Bend Rd, Surry, ME 04684-3309 | 2015-03-23 |
| 1427060847 | Cathy A Bradley | Nurse Practitioner | 521 Main Street, Presque Isle, ME 04769 | 2006-08-13 |
| 1467469841 | Patricia Thompson Leavitt | Nurse Practitioner | 1013 Narragansett Trl, Buxton, ME 04093-6607 | 2006-08-01 |
| 1366051666 | Lindsey Desrosier | Nurse Practitioner | 4 Main St, Van Buren, ME 04785-1009 | 2020-07-23 |
| 1255957007 | Kathryn Raymond | Nurse Practitioner | 23 North St, Presque Isle, ME 04769-2291 | 2020-06-17 |
| 1790319457 | Eric K Shoaps | Nurse Practitioner | 70 Main St, Porter, ME 04068-3527 | 2020-03-02 |
| 1528609567 | Brandon Woodman Howlett | Nurse Practitioner | 23 North St, Presque Isle, ME 04769-2291 | 2019-10-01 |
| 1326506395 | Christopher Curtis King | Nurse Practitioner | 29 Bowdoin St, Manchester, ME 04351-3554 | 2019-03-07 |
| 1992277008 | Gem Health & Wellness | Nurse Practitioner | 169 Ocean St Ste 104, South Portland, ME 04106-3636 | 2018-12-31 |
| 1689177867 | Amber Nicole Grissom | Nurse Practitioner | 302 Husson Ave Ste 1, Bangor, ME 04401-3373 | 2018-03-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.