JODY TUDOR (NPI# 1518942358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518942358 |
| Entity Type | Individual |
| Full Name | JODY TUDOR |
| Credential | ARNP |
| Practice Address |
2701 S Interstate 35 Round Rock TX 78664-7320 |
| Mailing Address |
4106 Cisco Valley Dr Round Rock TX 78664-3939 |
| Practice Telephone | 5122183926 |
| Practice Fax Number | 5122180179 |
| Mailing Telephone | 8502176762 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2011-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 639393 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | ARNP9207392 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 307275400 | 05 |
| Street Address |
2701 S INTERSTATE 35 |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78664-7320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750947891 | Gaze Optometry, Pllc | Optometrist | 2701 S Interstate 35, Round Rock, TX 78664-7320 | 2019-05-14 |
| 1396834115 | Lynne K Martin | Optometrist | 2701 S Interstate 35, Round Rock, TX 78664-7320 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526900 | Yan Wei Chan | Acupuncturist | 894 Summit St. Suite 109, Round Rock, TX 78664 | 2020-01-06 |
| 1285139030 | Coffee Rx LLC | Pharmacy | 106 S Mays St Ste 100, Round Rock, TX 78664 | 2018-03-26 |
| 1508369224 | Daniel Bernard Hall | Nurse Practitioner | 1700 East Palm Valley Blvd, Roundrock, TX 78664 | 2018-03-09 |
| 1407361561 | Double Creek Assisted Living Lp | Assisted Living Facility | 3200 Louis Henna Blvd., Round Rock, TX 78664 | 2017-12-11 |
| 1396254694 | Gezahgne T Bogale | Driver | 1908 Huxley Ln, Round Rock, TX 78664 | 2017-09-29 |
| 1942728563 | Kathryn Dufresne | Massage Therapist | 896 Summit Street Suite 104b, Round Rock, TX 78664 | 2017-09-04 |
| 1699213686 | I&r Health Services | Case Management | 2501 Louis Henna Blvd Apt 914, Round Rock, TX 78664 | 2017-02-09 |
| 1588018394 | The Heidi Group | Family Medicine | 894 Summit St Ste 108, Round Rock, TX 78664 | 2016-04-18 |
| 1902264963 | Round Rock Emergency Physicians | Clinic/Center | 1925 Aw Grimes Blvd, Round Rock, TX 78664 | 2016-02-05 |
| 1508230137 | Michael Fuentes | Community Health Worker | 117-b Louis Henna Blvd, Ste. 200, Round Rock, TX 78664 | 2015-11-19 |
| Find all providers in zip 78664 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619580974 | Rosabel Virginia Zohfeld | Nurse Practitioner | 8069 Mozart St, Round Rock, TX 78665-2112 | 2020-08-26 |
| 1225469976 | Muminot Ololade Ogunmuyiwa | Nurse Practitioner | 4423 Pasada Ln, Round Rock, TX 78681-1683 | 2013-12-05 |
| 1578909255 | Alisha Elaine Gilmore | Nurse Practitioner | 302 University Blvd., Ms-mb-1151, Round Rock, TX 78665 | 2013-05-21 |
| 1992015572 | Courtney Lynn Bearden | Nurse Practitioner | 1009 North Georgetown Street, Round Rock, TX 78664 | 2010-10-15 |
| 1083625974 | Pamela C Garner-taylor | Nurse Practitioner | 2109 Monticello Ct, Round Rock, TX 78665-5021 | 2006-08-10 |
| 1588618987 | Stephanie Agrella | Nurse Practitioner | 16040 Park Valley Dr Bldg B, Round Rock, TX 78681-3578 | 2006-05-20 |
| 1033710447 | Lauren Brooke Casey | Nurse Practitioner | 1001 Little Oak Way, Round Rock, TX 78681-5516 | 2020-11-03 |
| 1598370421 | Matthew Ryan Frank | Nurse Practitioner | 2400 Round Rock Ave, Round Rock, TX 78681-4004 | 2020-09-08 |
| 1699310136 | Courtney Marie Deavers | Nurse Practitioner | 1925 S A W Grimes Blvd, Round Rock, TX 78664-7459 | 2019-11-07 |
| 1932743572 | Christina M. Boman | Nurse Practitioner | 301 Seton Pkwy Ste 104, Round Rock, TX 78665-8003 | 2019-11-06 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78664 |
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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.