KELLY N DUDLEY (NPI# 1336498880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336498880 |
| Entity Type | Individual |
| Full Name | KELLY N DUDLEY |
| Practice Address |
2345 S Lynhurst Dr Suite 112 Indianapolis IN 46241 |
| Practice Telephone | 3172478935 |
| Mailing Telephone | 3172478935 |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801310081 | Kelly Rose Dudley | Social Worker | 215 S Barnes Ave, Springfield, MO 65802-2204 | 2017-07-31 |
| 1053781492 | Kelly Lemieux Dudley | Nurse Practitioner | 250 Arsenal St, Augusta, ME 04330-5742 | 2015-09-28 |
| Street Address |
2345 S LYNHURST DR SUITE 112 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760654 | Sharon Carl | Social Worker | 2345 S Lynhurst Dr, Ste 205, Indianapolis, IN 46241-5100 | 2005-06-16 |
| 1700327889 | Phoenix Family Wellness, LLC | In Home Supportive Care | 2345 S Lynhurst Dr, Suite 218, Indianapolis, IN 46241-8630 | 2017-03-09 |
| 1831440429 | Leah Catherine Booth | Social Worker | 2345 S Lynhurst Dr, Suite 205, Indianapolis, IN 46241-8630 | 2012-09-24 |
| 1871849281 | John Marshall Stubblefield | Social Worker | 2345 S Lynhurst Dr, Indianapolis, IN 46241-8630 | 2012-08-03 |
| 1750637112 | Margot Ann Everitt | Marriage & Family Therapist | 2345 S Lynhurst Dr, Indianapolis, IN 46241-8630 | 2012-08-02 |
| 1831444876 | Gina Marie Potter | Social Worker | 2345 S Lynhurst Dr, Indianapolis, IN 46241-8630 | 2012-07-16 |
| 1942564752 | Kimberly Michelle Burnell | Social Worker | 2345 S Lynhurst Dr, Suite 205, Indianapolis, IN 46241-8630 | 2012-06-26 |
| 1336409895 | Natalie Renee Geier | Social Worker | 2345 S Lynhurst Dr, Indianapolis, IN 46241-8630 | 2012-05-17 |
| 1568721629 | Emily L Bailey | Social Worker | 2345 S Lynhurst Dr, Indianapolis, IN 46241-8630 | 2012-05-10 |
| 1528344587 | Lauren Jones Robinson | Social Worker | 2345 S Lynhurst Dr, Suite 112, Indianapolis, IN 46241-8630 | 2011-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062511 | Indy Medical Trans LLC | Non-emergency Medical Transport (VAN) | 4948 W Washington St, Indianapolis, IN 46241 | 2020-10-29 |
| 1760081525 | After Action Medical and Dental Supply, LLC | Durable Medical Equipment & Medical Supplies | 4444 Decatur Blvd., Suite 100, Indianapolis, IN 46241 | 2020-10-22 |
| 1659841880 | Dependency Medical Holdings Corporation | Family Medicine | 5600 W Bradbury Ave, Indianapolis, IN 46241 | 2018-11-30 |
| 1255872073 | Phoenix Family and Community Services, LLC | Case Management | 2346 S. Lynhurst Dr. Suite 601, Indianapolis, IN 46241 | 2017-03-13 |
| 1811022114 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 6920 Gatwick Drive, Suite 100, Indianapolis, IN 46241 | 2007-02-23 |
| 1912073107 | Kathryn Charlotte Gregor | Occupational Therapy Assistant | 5603 W Raymond St, Indianapolis, IN 46241 | 2006-11-28 |
| 1184790347 | Sandee Jo Schultheis | Physical Therapy Assistant | 5603 West Raymond St, Suite A, Indianapolis, IN 46241 | 2006-11-28 |
| 1346899077 | Lori Heusel | Counselor | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-09-05 |
| 1720632227 | Nicole Anne Murphy | Counselor | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-08-01 |
| 1073173209 | Kaylee Posson | Social Worker | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-06-19 |
| Find all providers in zip 46241 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153914 | Beverli D Mason | Counselor | 10231 Chris Dr, Indianapolis, IN 46229-1875 | 2020-10-26 |
| 1376150656 | Shelia Hall | Counselor | 7422 Carnation Ln, Indianapolis, IN 46214-1066 | 2020-09-30 |
| 1205443090 | Laura Oliver | Counselor | 2274 Valley Creek Way, Indianapolis, IN 46229-1932 | 2020-09-26 |
| 1932714185 | Thrive Counseling Services, LLC | Counselor | 3750 Kentucky Avenue, Indianapolis, IN 46221-2700 | 2020-09-14 |
| 1033735055 | Luv Taylor | Counselor | 4117 Village Trace Blvd, Indianapolis, IN 46254-6222 | 2020-06-25 |
| 1366067159 | Amdaway Ibrahim | Counselor | 4013 Baker Dr, Indianapolis, IN 46235-1573 | 2020-06-08 |
| 1326661836 | Bridge Clinics | Counselor | 3702 E 10th St, Indianapolis, IN 46201-2554 | 2020-05-19 |
| 1457973380 | Anita J Adams | Counselor | 5218 Cornelius Ave, Indianapolis, IN 46208-2512 | 2020-05-14 |
| 1821610213 | Tiffany Lynette Thompson | Counselor | 4308 Ansar Ln, Indianapolis, IN 46254-3128 | 2020-05-08 |
| 1114549615 | Courtney Terrell | Counselor | 1118 N Audubon Rd, Indianapolis, IN 46219-3116 | 2020-05-07 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46241 |
Please comment or provide details below to improve the information on KELLY N DUDLEY.
| 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.