LORI DUDLEY (NPI# 1477529972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477529972 |
| Entity Type | Individual |
| Full Name | LORI DUDLEY |
| Credential | PHD |
| Practice Address |
902 S Jefferson St Roanoke VA 24016 |
| Mailing Address |
902 S Jefferson St Roanoke VA 24016-4404 |
| Practice Telephone | 5408530900 |
| Practice Fax Number | 5408530511 |
| Mailing Telephone | 5408530900 |
| Mailing Fax Number | 5408530511 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2018-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810-003042 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010077656 | 05 | |
| VA | 010077672 | 05 | |
| VA | 010194679 | 05 | |
| VA | 010194644 | 05 | |
| VA | 010194652 | 05 | |
| VA | 010047668 | 05 | |
| VA | 7712910 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Psc 41, 48 Mdg/mdos Unit 5210 Box 230, Apo, AE 094649998 | 1638523308 | 1638526600 |
| Street Address |
902 S JEFFERSON ST |
| City | ROANOKE |
| State | VA |
| Zip Code | 24016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051853 | Eduardo Lara-torre | Obstetrics & Gynecology | 902 S Jefferson St, Roanoke, VA 24016 | 2005-05-31 |
| 1134531536 | Joni Nicole Sessor-kendrick | Nurse Practitioner | 902 S Jefferson St, Roanoke, VA 24016-4404 | 2014-05-20 |
| 1740593730 | Jennifer Holly Turner | Nurse Practitioner | 902 S Jefferson St, Roanoke, VA 24016-4404 | 2010-07-19 |
| 1164741880 | Stephanie Joyce Barnum | Nurse Practitioner | 902 S Jefferson St, Upper Level, Roanoke, VA 24016-4404 | 2010-05-20 |
| 1306000468 | Charlene M Kegg | Nurse Practitioner | 902 S Jefferson St, Roanoke, VA 24016-4404 | 2008-07-17 |
| 1033303508 | Erinn E Hokanson | Pediatrics | 902 S Jefferson St, Roanoke, VA 24016-4404 | 2007-08-28 |
| 1720100860 | Amanda Leigh-ellen Needham | Nurse Practitioner | 902 S Jefferson St, Roanoke, VA 24016-4404 | 2007-04-06 |
| 1790739258 | Lee Andrew Learman | Obstetrics & Gynecology | 902 S Jefferson St, Roanoke, VA 24016-4404 | 2006-05-20 |
| 1528034089 | Cynthia Marcum | Nurse Practitioner | 902 S Jefferson St, Roanoke, VA 24016-4404 | 2006-02-24 |
| 1326014895 | Sonia Vishneski | Nurse Practitioner | 902 S Jefferson St, Roanoke, VA 24016-4404 | 2006-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758329 | Davis Andrew Sugar | Student in an Organized Health Care Education/Training Program | 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 | 2020-04-08 |
| 1356810659 | Susanne Tribble | Social Worker | 202 Wells Ave Nw, Roanoke, VA 24016 | 2018-11-15 |
| 1801305818 | Rena Lee Daye | Driver | 10 12th St. Sw, Roanoke, VA 24016 | 2017-09-21 |
| 1053841965 | Christin Elledge Clark | Nurse Practitioner | 1234 Franklin Road, Roanoke, VA 24016 | 2017-06-13 |
| 1235685884 | Helen Franck | Physical Therapist | 650 North Jefferson Street, Roanoke, VA 24016 | 2016-09-01 |
| 1457710238 | Frances Marie Gaeta | Social Worker | 360 Campbell Ave, Roanoke, VA 24016 | 2016-02-22 |
| 1982073292 | Sophie Mench Tranmer | Physical Therapist | 1421 Third St. Sw, Roanoke, VA 24016 | 2015-09-16 |
| 1982008181 | National Counseling Group, Inc | Psychiatry & Neurology | 20 Walnut Avenue, Roanoke, VA 24016 | 2014-10-17 |
| 1366858342 | National Counseling Group, Inc | Psychiatry & Neurology | 16 Walnut Avenue, Roanoke, VA 24016 | 2014-07-10 |
| 1427320878 | Kristen L. Jagger | Physical Medicine & Rehabilitation | 1015 First Street Sw Suite 2, Roanoke, VA 24016 | 2012-02-01 |
| Find all providers in zip 24016 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917843 | Nathaniel Andrew | Psychologist | 3112 Honeywood Ln Apt E, Roanoke, VA 24018-8853 | 2020-06-25 |
| 1245624196 | Andrea Miller | Psychologist | 30 Franklin Rd Sw, Suite 602, Roanoke, VA 24011-2423 | 2015-03-27 |
| 1306104005 | Brian L Lewis | Psychologist | 1317 3rd St Sw, Roanoke, VA 24016-5238 | 2012-05-01 |
| 1831376755 | Laura Janet Ely | Psychologist | 1402 Grandin Rd Sw Ste 211, Roanoke, VA 24015-2348 | 2008-01-22 |
| 1598884702 | Wee Leung Lee | Psychologist | 5427 Peters Creek Rd, Suite 100, Roanoke, VA 24019-3858 | 2007-03-28 |
| 1861518037 | Donald Joseph Gieck | Psychologist | 2017 S Jefferson St, Roanoke, VA 24014 | 2007-03-21 |
| 1861570822 | Paul Joseph Woods | Psychologist | 5541 Florist Rd, Roanoke, VA 24012-1233 | 2006-11-01 |
| 1356440184 | Debra A. Marks | Psychologist | 221 Albemarle Ave Sw, Roanoke, VA 24016-4716 | 2006-09-21 |
| 1972513893 | Montenique Finney | Psychologist | 4800 Pleasant Hill Dr, Ste 202, Roanoke, VA 24018-3406 | 2006-08-09 |
| 1326090580 | Louis Anthony Perrott | Psychologist | 3635 Manassas Dr, Roanoke, VA 24018-4031 | 2006-05-16 |
| Find all providers in ROANOKE | ||||
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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.