MR. STEVEN M. KUDER (NPI# 1417290594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417290594 |
| Entity Type | Individual |
| Full Name | MR. STEVEN M. KUDER |
| Credential | FNP-C |
| Practice Address |
11510 S Fortuna Rd Suite A Yuma AZ 85367-7843 |
| Practice Telephone | 9283427046 |
| Practice Fax Number | 9283427018 |
| Mailing Telephone | 9283427046 |
| Mailing Fax Number | 9283427018 |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2020-05-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
RN181518 | AZ | Nursing Service Providers |
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
13-93959-091 | KS | Nursing Service Providers |
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
737611 | TX | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
53-76864 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP7902 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 055339 | 05 | |
| AZ | MEDICATE PTAN | Z191487 | 01 |
| Street Address |
11510 S FORTUNA RD SUITE A |
| City | YUMA |
| State | AZ |
| Zip Code | 85367-7843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083766422 | Cynthia Faye Hale | Registered Nurse | 11510 S Fortuna Rd, Ste A, Yuma, AZ 85367-7886 | 2007-01-17 |
| 1730627175 | Fortuna Medical Group Physical Therapy & Rehab | Specialist | 11510 S Fortuna Rd, Suite A, Yuma, AZ 85367-7886 | 2017-02-06 |
| 1386044477 | Fortuna Medical Group | Clinic/Center | 11510 S Fortuna Rd, Suite A, Yuma, AZ 85367-7843 | 2014-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033643374 | Bio Clinic PC | Internal Medicine | 11468 N Frontage Rd Ste A, Yuma, AZ 85367 | 2017-04-13 |
| 1518320308 | Leigh Ann Howell | Nurse Practitioner | 11242 S Foothills Blvd Ste 18, Yuma, AZ 85367 | 2016-03-30 |
| 1083026231 | Cvs Pharmacy | Pharmacist | 11464 S Fortuna Rd, Yuma, AZ 85367 | 2014-05-22 |
| 1700134822 | German Dobson Cvs LLC | Durable Medical Equipment & Medical Supplies | 11464 South Fortuna Rd, Yuma, AZ 85367 | 2012-08-21 |
| 1568731016 | Matthew R Nunes | Pharmacist | 11203 E South Frontage Rd, Yuma, AZ 85367 | 2011-12-28 |
| 1285929976 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 11203 E. South Frontage Rd., Yuma, AZ 85367 | 2011-06-10 |
| 1922124494 | Assisted Living Concepts Inc | Assisted Living Facility | 12234 E North Frontage, Yuma, AZ 85367 | 2007-03-22 |
| 1417089723 | Monika Shumbopoissant | Occupational Therapy Assistant | 2224 Ave A, Palm View Rehabilitation & Health Care Center, Yuma, AZ 85367 | 2007-03-12 |
| 1467584771 | Dustin Torrey Cummings | Physical Therapy Assistant | Yuma Reahabilition Hospital, 901 West 24th Street, Yuma, AZ 85367 | 2007-03-12 |
| 1295229672 | Yuma Kidney & Dialysis Specialists PC | Internal Medicine | 11468 N Frontage Rd, Yuma, AZ 85367 | 2018-06-19 |
| Find all providers in zip 85367 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071361 | Harmony Clinic and Medspa | Nurse Practitioner | 670 E 32nd St Ste 8, Yuma, AZ 85365-3576 | 2020-10-22 |
| 1639785272 | Katelyn Faucette Hall | Nurse Practitioner | 2982 S 47th Ave, Yuma, AZ 85364-7471 | 2020-09-18 |
| 1093321085 | Larry Anthony Morales | Nurse Practitioner | 10405 E. Tule Rd, Yuma, AZ 85365-8536 | 2020-09-16 |
| 1295340826 | Tiana Leigh Akins | Nurse Practitioner | 2580 Highway 22 N, Yuma, TN 38390-4331 | 2020-09-10 |
| 1477176766 | Eleganz Medical Spa Pllc | Nurse Practitioner | 3970 W 24th St Ste 203, Yuma, AZ 85364-9261 | 2020-05-21 |
| 1427681162 | Sarah Deleon | Nurse Practitioner | 2281 W 24th St Ste 16, Yuma, AZ 85364-6197 | 2020-02-21 |
| 1164989968 | Iris Davis Flores | Nurse Practitioner | 2851 S Avenue B Ste 2951, Yuma, AZ 85364-7782 | 2019-02-28 |
| 1083195283 | Debra Sue Cannon | Nurse Practitioner | 2359 Highway 22 N, Yuma, TN 38390-4329 | 2018-08-24 |
| 1013415843 | Carolyne Adero | Nurse Practitioner | 2189 S Avenue A Ste A, Yuma, AZ 85364-8308 | 2018-01-26 |
| 1760904015 | Eugenia L Kereluk | Nurse Practitioner | 11279 S Glenwood Ave, Yuma, AZ 85367-5885 | 2017-07-07 |
| Find all providers in YUMA | ||||
Please comment or provide details below to improve the information on MR. STEVEN M. KUDER.
| 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.