MS. CRYSTAL MARIE DUDLEY (NPI# 1962452268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962452268 |
| Entity Type | Individual |
| Full Name | MS. CRYSTAL MARIE DUDLEY |
| Credential | ATC |
| Practice Address |
516 15th Ave Se Minneapolis MN 55455-0120 |
| Mailing Address |
Po Box 23378 Silverthorne CO 80498-3378 |
| Practice Telephone | 6126252850 |
| Mailing Telephone | 9704852337 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477050284 | Crystal Dionne Dudley | Counselor | 1100 Stone Rd Ste 103, Kilgore, TX 75662-5494 | 2018-04-09 |
| 1619491313 | Crystal Dudley | Counselor | 1391 Washington Blvd, Pittsburgh, PA 15206-1801 | 2017-08-03 |
| 1386031417 | Crystal Autumn Dudley | Counselor | 2111 Champa St, Denver, CO 80205-2529 | 2015-04-15 |
| Street Address |
516 15TH AVE SE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455-0120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619508223 | Haley Fleck | Specialist/Technologist | 516 15th Ave Se, Minneapolis, MN 55455-0130 | 2020-02-01 |
| 1063902781 | Mallory R Whitman | Specialist/Technologist | 516 15th Ave Se, Minneapolis, MN 55455-0130 | 2018-05-17 |
| 1699151415 | Erin Elizabeth Murphy | Specialist/Technologist | 516 15th Ave Se, Minneapolis, MN 55455-0130 | 2015-08-04 |
| 1417354937 | Andrew Cohorst | Specialist/Technologist | 516 15th Ave Se, Room 190, Minneapolis, MN 55455-0130 | 2014-11-26 |
| 1376945311 | Bridget Sturch | Specialist/Technologist | 516 15th Ave Se, Intercollegiate Athletics Room 190 Bierman, Minneapolis, MN 55455-0130 | 2014-09-22 |
| 1083013916 | Anthony Berger | Specialist/Technologist | 516 15th Ave Se, Minneapolis, MN 55455-0130 | 2014-08-15 |
| 1487053500 | Benjamin Felz | Specialist/Technologist | 516 15th Ave Se, Bierman Room 190, Minneapolis, MN 55455-0130 | 2014-08-14 |
| 1053720367 | Emilie Anne Benick | Specialist/Technologist | 516 15th Ave Se, Minneapolis, MN 55455-0130 | 2014-08-12 |
| 1417394297 | Carly P Hagler | Specialist/Technologist | 516 15th Ave Se, Room 190, Minneapolis, MN 55455-0130 | 2013-06-03 |
| 1164761052 | Jaime Hall | Specialist/Technologist | 516 15th Ave Se, Minneapolis, MN 55455-0130 | 2013-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558984674 | Kylie Macziewski | Specialist/Technologist | 104 W 95th St, Minneapolis, MN 55420-4307 | 2020-05-22 |
| 1295356293 | Matthew Larsen | Specialist/Technologist | 501 E 14th St Apt 34, Minneapolis, MN 55404-1409 | 2020-04-30 |
| 1801433115 | Mary L Weddle | Specialist/Technologist | 4300 W River Pkwy Apt 251, Minneapolis, MN 55406-3678 | 2019-12-05 |
| 1760041065 | Kristin Wood | Specialist/Technologist | 1900 University Ave Se, Minneapolis, MN 55455-0376 | 2019-06-10 |
| 1831665868 | Brandi Bluearm | Specialist/Technologist | 1410 Elliot Ave, Minneapolis, MN 55404-1300 | 2018-10-17 |
| 1982195558 | Joshua Wintz | Specialist/Technologist | 4112 Morrill Ln, Minneapolis, MN 55406-3656 | 2018-05-19 |
| 1225548126 | Abbegayle Kisrow | Specialist/Technologist | 2840 123rd Ave Nw, Minneapolis, MN 55433-1727 | 2017-10-05 |
| 1295250744 | Emily Jacob | Specialist/Technologist | 5829 Oakland Ave, Minneapolis, MN 55417-3113 | 2017-08-06 |
| 1639524853 | Annie Thoresen | Specialist/Technologist | 7841 Wayzata Blvd, Suite 214, Minneapolis, MN 55426-1452 | 2016-04-25 |
| 1205214566 | Karin Shelstad | Specialist/Technologist | 5501 10th Av S, Minneapolis, MN 55417 | 2015-05-07 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
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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.