ALEXANDRA ROSE MUDD


Address: 101 Stonecrest Rd Ste 2, Shelbyville, KY 40065-8169
Phone: 5026477708

ALEXANDRA ROSE MUDD (NPI# 1548737331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548737331
Entity Type Individual
Full Name ALEXANDRA ROSE MUDD
Credential PA-C
Practice Address 101 Stonecrest Rd Ste 2
Shelbyville
KY 40065-8169
Mailing Address 101 Stonecrest Rd
Ste 2
Shelbyville
KY 40065-8169
Practice Telephone 5026477708
Practice Fax Number 5026477747
Mailing Telephone 5026477708
Mailing Fax Number 5026477747
Enumeration Date 2018-10-30
Last Update Date 2018-12-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA2416 KY Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant TC774 KY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 101 STONECREST RD STE 2
City SHELBYVILLE
State KY
Zip Code 40065-8169

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013348242 Elisa Sykes-brees Counselor 250 Alpine Drive, Shelbyville, KY 40065 2013-12-13
1073800512 Mimi Y. R. Rayburn Nurse Practitioner 865 Old Taylorsville Rd, Shelbyville, KY 40065 2011-07-05
1124310677 Amanda B Dassel Pharmacist 1605 Midland Trail, Shelbyville, KY 40065 2011-05-03
1639468812 Tia M Alton Pediatrics 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 2011-03-29
1699073338 Emily Ann Waits Dietitian, Registered 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 2011-03-04
1124335401 Kelli L. Fetter Occupational Therapist 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 2010-09-08
1083939425 Marilyn Louise Rhoads Licensed Practical Nurse 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 2010-03-29
1154525277 Dorman Preschool Center Early Intervention Provider Agency 719 Burks Branch Road, Shelbyville, KY 40065 2007-06-13
1194946368 Joanna Sames Pharmacist 16 Village Plaza, Shelbyville, KY 40065 2007-05-02
1033298922 Robyn A Keeling Dentist 502 Mount Eden Rd, Shelbyville, KY 40065 2006-11-03
Find all providers in zip 40065

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508417205 Jordan Mastalerz Physician Assistant 120 Frank Martin Rd Ste 101, Shelbyville, TN 37160-7195 2019-09-24
1558663534 Laura Martin Physician Assistant 130 Stonecrest Rd Ste 106, Shelbyville, KY 40065-8126 2010-11-24
1396933271 Catherine Elizabeth Yutmeyer Physician Assistant 249 N Morgan St, Shelbyville, IL 62565-1672 2007-10-04
1245219666 Scott Jason Jones Physician Assistant 1114 N Main St Ste B, Shelbyville, TN 37160-2380 2006-01-13
1790267524 Kristin Marie Hayden Physician Assistant 207 S Pine St, Shelbyville, IL 62565-1749 2018-08-29
1376020388 Francis Leonard Physician Assistant 615 Washington St, Shelbyville, KY 40065-1131 2018-07-23
1134613425 Danielle Elizabeth O'dell Physician Assistant 71 Mack Walters Rd, Shelbyville, KY 40065 2018-06-19
1407372568 Kristen Vance Physician Assistant 1 Calsonic Way, Shelbyville, TN 37160-2031 2017-08-20
1144741687 Molly Kathleen Cremons Physician Assistant 2451 Intelliplex Dr, Shelbyville, IN 46176-8580 2017-07-06
1316477078 Grahm Smith Physician Assistant 1612 N Main St, Shelbyville, TN 37160-2391 2017-06-15
Find all providers in SHELBYVILLE

Competitor

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City SHELBYVILLE
Zip Code 40065

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Dataset Information

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.

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