KATHLEEN ELIZABETH DUDLEY (NPI# 1124574710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124574710 |
| Entity Type | Individual |
| Full Name | KATHLEEN ELIZABETH DUDLEY |
| Credential | RN, CRNP |
| Practice Address |
217 Broadway Hanover PA 17331-2503 |
| Practice Telephone | 7176323911 |
| Practice Fax Number | 7176321224 |
| Mailing Telephone | 7176323911 |
| Mailing Fax Number | 7176321224 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
SP016535 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
217 BROADWAY |
| City | HANOVER |
| State | PA |
| Zip Code | 17331-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295703684 | Melissa Parker Lavallee | Pediatrics | 217 Broadway, Hanover, PA 17331-2503 | 2006-03-10 |
| 1497122964 | Lauren Catherine Duffy | Physician Assistant | 217 Broadway, Hanover, PA 17331 | 2015-08-31 |
| 1659461382 | Kathleen Mary Keffer | Nurse Practitioner | 217 Broadway, Hanover, PA 17331-2503 | 2006-10-13 |
| 1790874261 | Mary Rebecca Kemper | Physician Assistant | 217 Broadway, Hanover, PA 17331-2503 | 2006-10-12 |
| 1891721064 | Hanover Pediatric Associates, P.C. | Pediatrics | 217 Broadway, Hanover, PA 17331-2503 | 2006-06-23 |
| 1770551939 | Kaejin Kim | Pediatrics | 217 Broadway, Hanover, PA 17331-2503 | 2006-03-14 |
| 1134197304 | Andres Valdes-dapena | Pediatrics | 217 Broadway, Hanover, PA 17331-2503 | 2006-03-14 |
| 1588632053 | Douglas Joseph Masucci | Pediatrics | 217 Broadway, Hanover, PA 17331-2503 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356977649 | Pinnacle Health Medical Services | Clinic/Center | 2201 Brunswick Drive, Suite 1100, Hanover, PA 17331 | 2020-03-18 |
| 1508421058 | National Vision Inc | Optometrist | 477 Eisenhower Drive, Hanover, PA 17331 | 2019-05-09 |
| 1225599830 | Tawney Nicole Angeloff | Registered Nurse | 1227 Baltimore Street, Hanover, PA 17331 | 2019-03-27 |
| 1851865000 | Hanh Pham-nguyen | Pharmacist | 260 Wilson Ave, Hanover, PA 17331 | 2019-01-21 |
| 1194251876 | Sam's East, Inc. | Technician/Technologist | 261 Wilson Ave, Hanover, PA 17331 | 2017-05-02 |
| 1346697794 | Pinnacle Treatment Centers Pa-vii, LLC | Clinic/Center | 120 Penn Street, Hanover, PA 17331 | 2016-05-16 |
| 1073914073 | Luana Robinson | Counselor | 36 Wappler Drive, Hanover, PA 17331 | 2014-09-09 |
| 1225467350 | Jennifer Marie Sherde | Specialist/Technologist | 250 Fame Avenue, Suite 100, Medical Fitness Center-hanover Hospital, Hanover, PA 17331 | 2013-11-08 |
| 1194078089 | Robyn Michelle Hess | Physician Assistant | 100 Eisenhower Dr, Hanover, PA 17331 | 2012-10-17 |
| 1134408453 | Heather L Hillson | Pharmacist | 31 Wilson Ave., T2567, Hanover, PA 17331 | 2011-08-04 |
| Find all providers in zip 17331 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497221154 | Christina Ownbey | Nurse Practitioner | 517 Ball Dr Unit 302, Hanover, IN 47243-9656 | 2018-10-22 |
| 1396951075 | Marytheresa Parsons | Nurse Practitioner | 51 Mill Street Bld E Suite 17, Healthcare South, P.C./ Hanover Pediatrics, Hanover, MA 02339 | 2007-05-16 |
| 1851454441 | Judith Ann Nagy | Nurse Practitioner | 121 Windsor Ct, Hanover, PA 17331-9780 | 2006-12-18 |
| 1023009495 | Kathleen E Fortini | Nurse Practitioner | 51 Mill St, Building E #17, Hanover, MA 02339-1641 | 2005-11-03 |
| 1033101928 | Sandra C. Shanahan | Nurse Practitioner | 7556 Teague Road, Suite 210, Hanover, MD 21076 | 2005-08-17 |
| 1144637216 | Lakhbir Kaur | Nurse Practitioner | 300 Highland Ave, Hanover, PA 17331-2297 | 2014-07-21 |
| 1669808952 | Sarah E Thornton | Nurse Practitioner | 51 Mill St, Bld E, Suite 17, Hanover, MA 02339-1641 | 2013-09-19 |
| 1093096166 | Brittany Lynn Perlis | Nurse Practitioner | 51 Mill St, Building E, Suite 17, Hanover, MA 02339-1641 | 2011-09-02 |
| 1104001361 | Linda Marie Baldaia | Nurse Practitioner | 7556 Teague Rd, Maryland Primary Care Physicians, Hanover, MD 21076 | 2008-01-07 |
| 1659461382 | Kathleen Mary Keffer | Nurse Practitioner | 217 Broadway, Hanover, PA 17331-2503 | 2006-10-13 |
| Find all providers in HANOVER | ||||
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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.