TRACY DUDLEY (NPI# 1518336387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518336387 |
| Entity Type | Individual |
| Full Name | TRACY DUDLEY |
| Practice Address |
764 Harding Ave Jamestown NY 14701 |
| Mailing Address |
764 Harding Ave Jamestown NY 14701-4558 |
| Practice Telephone | 7044926610 |
| Mailing Telephone | 7044926610 |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 217702 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447707427 | Tracy Dudley | Nurse Practitioner | 1279 Highway 54 W, Suite 100, Fayetteville, GA 30214-4550 | 2016-09-07 |
| Street Address |
764 HARDING AVE |
| City | JAMESTOWN |
| State | NY |
| Zip Code | 14701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952964314 | Jennifer Ware | Driver | 116 Tower St, Jamestown, NY 14701 | 2019-04-20 |
| 1962979005 | Kimberly Marlene Crasti | Student in an Organized Health Care Education/Training Program | 64 Ames Ave, Jamestown, NY 14701 | 2018-10-26 |
| 1679055032 | Hannah Abbott | Student in an Organized Health Care Education/Training Program | 118 Superior St., Jamestown, NY 14701 | 2018-09-02 |
| 1669952172 | Taylor Marie Genco | Registered Nurse | 110 E 4th Street, Jamestown, NY 14701 | 2018-08-15 |
| 1487163978 | Molly Morgante | Physical Therapy Assistant | 410 Crossman Street, Jamestown, NY 14701 | 2017-09-27 |
| 1053832097 | Amber Nicole Caylor | Licensed Practical Nurse | 48 Chautauqua Avenue, Jamestown, NY 14701 | 2017-06-29 |
| 1821520370 | John Robert Ferry | Registered Nurse | 500 Pine St., Suite #15, Jamestown, NY 14701 | 2017-04-03 |
| 1467905638 | Mental Health Association In Chautauqua County | Case Management | 31 Water Street, Suite 7, Jamestown, NY 14701 | 2016-07-25 |
| 1174922405 | Sylvia A Emerling | Social Worker | 332 East 4th St, Jamestown, NY 14701 | 2014-08-22 |
| 1578982039 | Camille Lynn Steele | Audiologist | 836 Fairmont Ave, Jamestown, NY 14701 | 2014-04-14 |
| Find all providers in zip 14701 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460415 | Brenda Harper | Licensed Practical Nurse | 407 W 4th St Apt A, Jamestown, NY 14701-4874 | 2020-06-04 |
| 1891319414 | Jennifer Lynn Brentley | Licensed Practical Nurse | 3381 Matson Rd, Jamestown, NY 14701-9635 | 2020-05-29 |
| 1013486703 | Tina Short | Licensed Practical Nurse | 11 Rowley Ct, Jamestown, NY 14701-2657 | 2018-11-26 |
| 1053832097 | Amber Nicole Caylor | Licensed Practical Nurse | 48 Chautauqua Avenue, Jamestown, NY 14701 | 2017-06-29 |
| 1912352691 | Jennifer Renee Roller | Licensed Practical Nurse | 3711 Mead Rd, Jamestown, NY 14701-9452 | 2016-04-29 |
| 1275922338 | Thomas Perry | Licensed Practical Nurse | 264 Broadhead Ave, Lower, Jamestown, NY 14701-8115 | 2015-01-13 |
| 1114342185 | Angelique Renee Swank | Licensed Practical Nurse | 4646 Cottonville Rd, Jamestown, OH 45335-1516 | 2014-02-26 |
| 1871930040 | Tammy L Harper | Licensed Practical Nurse | 23 Fluvanna Ave, Jamestown, NY 14701-2011 | 2013-05-29 |
| 1013250422 | Krissy Ann Piazza | Licensed Practical Nurse | 286 Sampson St, Jamestown, NY 14701-7728 | 2013-04-03 |
| 1528325248 | Cherie Mae White | Licensed Practical Nurse | 609 Newland Ave Apt 2, Jamestown, NY 14701-6727 | 2012-04-19 |
| Find all providers in JAMESTOWN | ||||
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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.