BEVERLY REEVES-DUDLEY (NPI# 1659330215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659330215 |
| Entity Type | Individual |
| Full Name | BEVERLY REEVES-DUDLEY |
| Credential | PMHNP-BC |
| Practice Address |
10965 Granada Ln Ste. 102 Overland Park KS 66211-1469 |
| Mailing Address |
8118 Goodman St Overland Park KS 66204-3502 |
| Practice Telephone | 9136633000 |
| Mailing Telephone | 9136424231 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2015-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
75836 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10965 GRANADA LN STE. 102 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211-1469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548661291 | Connections Counseling, LLC | Social Worker | 10965 Granada Ln, Suite 106, Overland Park, KS 66211-1469 | 2014-09-12 |
| 1710302666 | Brenda Lunnie-jobe | Counselor | 10965 Granada Ln, Suite 103, Overland Park, KS 66211-1469 | 2014-03-02 |
| 1962766733 | Susan Warden Therapy, LLC | Community/Behavioral Health | 10965 Granada Ln, Suite 102, Overland Park, KS 66211-1469 | 2012-06-27 |
| 1407122567 | Sheba Khalid Md, LLC. | Psychiatry & Neurology | 10965 Granada Ln, Suite 102, Overland Park, KS 66211-1469 | 2012-03-22 |
| 1508139866 | Irene Bockelman, Lscsw, LLC | Social Worker | 10965 Granada Ln, Suite 103, Overland Park, KS 66211-1469 | 2012-02-17 |
| 1548417264 | Susan H Harris | Social Worker | 10965 Granada Ln, Suite 103, Overland Park, KS 66211-1401 | 2008-08-25 |
| 1366637126 | Donna Marie Bacic | Specialist | 10965 Granada Ln, #103, Overland Park, KS 66211-1401 | 2007-09-13 |
| 1720296023 | Fred L Mayfield II | Counselor | 10965 Granada Ln, Suite 103, Overland Park, KS 66211-1401 | 2007-05-18 |
| 1770519332 | Awni A. Gayed, Md, P.a. | Psychiatry & Neurology | 10965 Granada Ln, Suite 201, Overland Park, KS 66211-1401 | 2006-06-24 |
| 1427005701 | Sheba Khalid | Psychiatry & Neurology | 10965 Granada Ln, Suite 102, Overland Park, KS 66211-1469 | 2006-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| Find all providers in zip 66211 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363137 | Marva Calder | Nurse Practitioner | 7299 W 98th Terrance Bld 6, Suite 120, Overland Park, KS 66212 | 2020-10-15 |
| 1861008732 | Georgette Musanase Kairanga | Nurse Practitioner | 9354 W 121st Ter, Overland Park, KS 66213-1547 | 2020-09-16 |
| 1609267806 | Theresa Mueller | Nurse Practitioner | 7050 W 107th St Ste 10, Overland Park, KS 66212-1921 | 2015-02-10 |
| 1962037770 | Stanley Kipkulei | Nurse Practitioner | 10870 Benson Dr Ste 2160, Overland Park, KS 66210-1509 | 2020-03-12 |
| 1093353864 | Bee Well Psychiatric Associates, LLC | Nurse Practitioner | 7050 W 107th St Ste 10, Overland Park, KS 66212-1921 | 2019-12-12 |
| 1114207537 | Becky Jean Austin-morris | Nurse Practitioner | 5520 College Blvd, Overland Park, KS 66211-1630 | 2011-08-17 |
| 1184877011 | Renee Ruth Azzouz | Nurse Practitioner | 8000 W 127th St, Overland Park, KS 66213-2714 | 2008-10-22 |
| 1316052723 | Lucinda Jean Whitney | Nurse Practitioner | 8000 W 127th St, Overland Park, KS 66213-2714 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720601982 | Jared Liebl | Nurse Practitioner | 3431 Deer Rdg, Rose Hill, KS 67133-8831 | 2020-05-22 |
| 1023658663 | Boniface Ndungu Gitau | Nurse Practitioner | 6003 E Bayley St, Wichita, KS 67218-3505 | 2020-01-12 |
| 1639713639 | Trenton James Schmidt | Nurse Practitioner | 511 Ne 10th, Abilene, KS 67410 | 2019-11-01 |
| 1083262695 | Andrea Michelle Rogers | Nurse Practitioner | 7829 E Rockhill St Ste 105, Wichita, KS 67206-3919 | 2019-08-27 |
| 1487132171 | Kristal Lynn Lang | Nurse Practitioner | 7570 W 21st St, Suite 1026d, Wichita, KS 67205-1764 | 2018-08-03 |
| 1184164543 | Susan Clavette Integrative Psychiatric Np LLC | Nurse Practitioner | 12616 W 62nd Ter Ste 119, Shawnee, KS 66216-1811 | 2017-03-06 |
| 1316300239 | Tapestry Psychiatric Services LLC | Nurse Practitioner | 529 N Lincoln Ave, Liberal, KS 67901-3309 | 2016-03-29 |
| 1114334067 | Jane Crawford | Nurse Practitioner | 8623 E 32nd St N, Wichita, KS 67226 | 2014-07-11 |
| 1154654481 | Ekm Family Center P.a | Nurse Practitioner | 1807 E Mary St Ste 4, Garden City, KS 67846-3877 | 2009-09-18 |
| 1134375280 | Susan Mileham | Nurse Practitioner | 1660 N Tyler Rd Ste A, Wichita, KS 67212-4918 | 2008-08-08 |
| Find all providers with the same taxonomy | ||||
| City | OVERLAND PARK |
| Zip Code | 66211 |
Please comment or provide details below to improve the information on BEVERLY REEVES-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.