KELLI DUDLEY (NPI# 1316427883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316427883 |
| Entity Type | Individual |
| Full Name | KELLI DUDLEY |
| Practice Address |
1507 W Main St Gatesville TX 76528-1024 |
| Practice Telephone | 2548652166 |
| Mailing Telephone | 2548652166 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP138110 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1507 W MAIN ST |
| City | GATESVILLE |
| State | TX |
| Zip Code | 76528-1024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013910272 | Richard Kenneth Hurley | Anesthesiology | 1507 W Main St, Gatesville, TX 76528-1024 | 2005-05-23 |
| 1922658897 | Russell Rowe, Md, Pa | Dermatology | 1507 W Main St, Gatesville, TX 76528-1024 | 2019-09-12 |
| 1629540109 | Emily Leib | Physician Assistant | 1507 W Main St, Gatesville, TX 76528-1024 | 2018-12-21 |
| 1912485293 | Alecia Nicole Eads | Nurse Practitioner | 1507 W Main St, Gatesville, TX 76528-1024 | 2018-07-30 |
| 1679065833 | Ashley Lynette Stephens | Nurse Practitioner | 1507 W Main St, Gatesville, TX 76528-1024 | 2018-06-04 |
| 1760972863 | Casey Lynn Questelle | Specialist/Technologist, Other | 1507 W Main St, Gatesville, TX 76528 | 2018-05-14 |
| 1295241305 | Kerry Zacharias | Nurse Practitioner | 1507 W Main St, Gatesville, TX 76528-1024 | 2017-12-27 |
| 1255844791 | Mistee Jefferies | Nurse Practitioner | 1507 W Main St, Gatesville, TX 76528-1024 | 2017-11-07 |
| 1770010787 | Steven Christopher Liebing | Family Medicine | 1507 W Main St, Gatesville, TX 76528-1024 | 2017-05-22 |
| 1750755534 | Cental Texas Pain Institute, Pa | Durable Medical Equipment & Medical Supplies | 1507 W Main St, Gatesville, TX 76528-1024 | 2015-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649751850 | Shannon Neuharth | Physical Therapy Assistant | 300 South Highway 36 Bypass, Gatesville, TX 76528 | 2018-08-25 |
| 1083149835 | Kathryn Cordell | Peer Specialist | 2400 Greenbriar Road, Gatesville, TX 76528 | 2017-04-28 |
| 1205375334 | Angel Edwards | Behavior Technician | 136 North 28th Street, Gatesville, TX 76528 | 2017-02-22 |
| 1790133775 | Peter Bealka | Ophthalmology | 2406 S. Business Highway 36, Gatesville, TX 76528 | 2016-05-31 |
| 1356748230 | Hcaa, LLC | Clinic/Center | 2610 Osage Road, Gatesville, TX 76528 | 2014-11-20 |
| 1215346788 | Deborah Stephens | Dentist | 1916 N. Hwy 36, Gatesville, TX 76528 | 2014-08-08 |
| 1144419672 | Neil M. Bealka Jr.,m.d. Pa | Ophthalmology | 2406 S. Business Hwy 36, Gatesville, TX 76528 | 2007-10-22 |
| 1386762920 | Cynthia Treadway Bankston | Hearing Instrument Specialist | 145 Cr 107, Gatesville, TX 76528 | 2007-03-26 |
| 1437268885 | H-e-b, Lp | Clinical Medical Laboratory | 1207 E Main St, Gatesville, TX 76528 | 2006-08-30 |
| 1336182310 | Neil Michael Bealka Jr. | Ophthalmology | 2406 S Business Hwy 36, Gatesville, TX 76528 | 2006-06-14 |
| Find all providers in zip 76528 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336487644 | Melvin None Wright | Nurse Practitioner | 401 Riata, 401 Riata, Gatesville, TX 76528-2696 | 2013-01-21 |
| 1982825550 | Lana Cliett Brunett | Nurse Practitioner | 1401 State School Rd., Gatesville, TX 76599 | 2007-05-01 |
| 1518514025 | Anne Marie Monte-parker | Nurse Practitioner | 501 Main St, Gatesville, NC 27938-9424 | 2019-08-20 |
| 1912485293 | Alecia Nicole Eads | Nurse Practitioner | 1507 W Main St, Gatesville, TX 76528-1024 | 2018-07-30 |
| 1679065833 | Ashley Lynette Stephens | Nurse Practitioner | 1507 W Main St, Gatesville, TX 76528-1024 | 2018-06-04 |
| 1295241305 | Kerry Zacharias | Nurse Practitioner | 1507 W Main St, Gatesville, TX 76528-1024 | 2017-12-27 |
| 1588039036 | Shelley Ann Smith | Nurse Practitioner | 501 Main St, Gatesville, NC 27938-9424 | 2015-12-09 |
| 1598136418 | Crystal Dowell | Nurse Practitioner | 1507 W Main St, Gatesville, TX 76528-1024 | 2015-10-19 |
| 1467840629 | Keri Tatum | Nurse Practitioner | 227 Memorial Dr, Gatesville, TX 76528-1028 | 2014-12-22 |
| 1629478730 | Racheal Elliott Shaddeau | Nurse Practitioner | 501 Main St, Gatesville, NC 27938-9424 | 2014-08-26 |
| Find all providers in GATESVILLE | ||||
| City | GATESVILLE |
| Zip Code | 76528 |
Please comment or provide details below to improve the information on KELLI 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.