ADRIENNE L DUDLEY (NPI# 1902447667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902447667 |
| Entity Type | Individual |
| Full Name | ADRIENNE L DUDLEY |
| Practice Address |
401 S Ballenger Hwy Flint MI 48532-3638 |
| Mailing Address |
Po Box 4611 Flint MI 48504-0611 |
| Practice Telephone | 8102656916 |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F10190085 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700395076 | Adrienne E Dudley | Counselor | 19445 W Warren Ave, Detroit, MI 48228 | 2017-09-29 |
| Street Address |
401 S BALLENGER HWY |
| City | FLINT |
| State | MI |
| Zip Code | 48532-3638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906934 | Select Specialty Hospital - Flint Inc | Long Term Care Hospital | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2005-07-20 |
| 1255931200 | Rachel Webster | Student in an Organized Health Care Education/Training Program | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2020-10-29 |
| 1093315442 | Kai A Forte | Nurse Practitioner | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2020-10-27 |
| 1235756560 | Seth Campbell | Orthopaedic Surgery | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2020-07-02 |
| 1164049805 | Andrew Peace | Orthopaedic Surgery | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2020-06-29 |
| 1285250316 | Nischit Baral | Internal Medicine | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2020-06-24 |
| 1871117457 | Thaer Jamal Farhan | Family Medicine | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2020-05-30 |
| 1235798083 | Hossein Tabrizi | Orthopaedic Surgery | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2019-06-06 |
| 1992364731 | Nathanael Adams | Orthopaedic Surgery | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2019-06-06 |
| 1043879893 | Evan Kohler | Orthopaedic Surgery | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2019-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
| 1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
| Find all providers in zip 48532 | ||||
| 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 |
|---|---|---|---|---|
| 1639676919 | Amanda Kate Waltrip | Nurse Practitioner | 300 E 1st St Ste 201, Flint, MI 48502-1900 | 2018-04-12 |
| 1225567084 | Tara Ann Kalinowski | Nurse Practitioner | 2265 S Linden Rd Ste A, Flint, MI 48532-5408 | 2017-06-06 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
| 1033596549 | Deosha Williams | Nurse Practitioner | 4203 Cayuga Trl, Flint, MI 48532-3581 | 2015-05-04 |
| 1649660606 | Venita Sharron Thornton | Nurse Practitioner | 1165 Linden Road, Flint, MI 48532 | 2015-01-29 |
| 1790199313 | Laurel Anne Paradise-bumhoffer | Nurse Practitioner | 3807 North Center Road, Flint, MI 48506 | 2014-06-12 |
| 1285982520 | Andrea Ann Rossi | Nurse Practitioner | 4302 Underhill Drive, Flint, MI 48506 | 2012-08-16 |
| 1235439142 | Paula M Anderson | Nurse Practitioner | 420 W Fifth Ave, Flint, MI 48503 | 2010-10-26 |
| 1386782381 | Genesys Integrated Group Practice PC | Nurse Practitioner | 307 E Court St, Flint, MI 48502-1611 | 2007-02-02 |
| 1164532966 | Bethany Lynn Pummill | Nurse Practitioner | 3011 North Center Rd, Flint, MI 48506 | 2006-08-30 |
| Find all providers in FLINT | ||||
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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.