MRS. COURTNEY DUDLEY (NPI# 1871861427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871861427 |
Entity Type | Individual |
Full Name | MRS. COURTNEY DUDLEY |
Credential | NP |
Practice Address |
6475 Camden Ave Ste 107 San Jose CA 95120-2847 |
Practice Telephone | 7139926677 |
Mailing Telephone | 7139926677 |
Enumeration Date | 2011-12-12 |
Last Update Date | 2014-05-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WX0002X |
Registered Nurse Specialization: Obstetric, High-Risk |
752771 | CA | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
20814 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 1871861427 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144242173 | Courtney Relyea Dudley | Pediatrics | 12174 N Mo Pac Expy Ste A, Austin, TX 78758-2910 | 2006-07-25 |
Street Address |
6475 CAMDEN AVE STE 107 |
City | SAN JOSE |
State | CA |
Zip Code | 95120-2847 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770994071 | Shreya Sharon Gondi | Student in an Organized Health Care Education/Training Program | 6475 Camden Ave Ste 107, San Jose, CA 95120-2847 | 2014-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386117554 | Karen Patterson | Speech-Language Pathologist | 6052 Cecala Dr, San Jose, CA 95120 | 2019-01-09 |
1881116705 | Geetha M Narayanan | Marriage & Family Therapist | 1051 Mountain Shadows Road, San Jose, CA 95120 | 2017-07-12 |
1164849592 | Vicente Ceja | Physical Therapist | 6155 Almaden Expy., # 150, San Jose, CA 95120 | 2014-03-24 |
1881018562 | Kirsten Cooper | Acupuncturist | 6055 Meridian Ave Ste 30, San Jose, CA 95120 | 2014-02-14 |
1699034587 | Mahboobe Ahmadi | Speech-Language Pathologist | 6554 Mcabee Rd., San Jose, CA 95120 | 2012-05-11 |
1679860142 | Nicole L Lewis | Family Medicine | 6475 Camden Ave Ste 105, San Jose, CA 95120 | 2011-07-06 |
1659677243 | Sundus Ali | Pediatrics | 6489 Camden Ave Ste 102, San Jose, CA 95120 | 2011-01-31 |
1851513659 | Abir Tadros | Dentist | 1041 Mazzone Dr., San Jose, CA 95120 | 2007-05-02 |
1053472365 | Clara Nancy Andirious | Dentist | 6472 Camden Ave., Suite 100, San Jose, CA 95120 | 2006-12-12 |
1104922384 | Timothy Tuan Lai | Dentist | 5945 Almaden Expressway, Suite #160, San Jose, CA 95120 | 2006-09-15 |
Find all providers in zip 95120 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518565738 | Lena Kil | Nurse Practitioner | 3680 Greenlee Dr Apt 4, San Jose, CA 95117-1469 | 2020-10-09 |
1740893858 | Esther Kiang | Nurse Practitioner | 1072 E Santa Clara St, San Jose, CA 95116-2245 | 2020-08-28 |
1902419575 | Leonard Iskander | Nurse Practitioner | 1146 Summerpark Ct, San Jose, CA 95132-2944 | 2020-08-25 |
1760004055 | Destiny Ann Brewer | Nurse Practitioner | 4735 Hamilton Ave # 80, San Jose, CA 95130-1769 | 2020-05-11 |
1841825148 | Marta Anna Sivarajah | Nurse Practitioner | 255 N. White Rd., San Jose, CA 95127-1966 | 2020-03-06 |
1114567500 | Sabine Dorothea Haas | Nurse Practitioner | 1879 Lundy Ave Ste 233, San Jose, CA 95131-1881 | 2020-01-14 |
1861033870 | Jessica Gutierrez | Nurse Practitioner | 635 S 11th St Apt 14, San Jose, CA 95112-2343 | 2019-10-01 |
1124589379 | Yvonne Ndeh | Nurse Practitioner | 418 Shadowgraph Dr, San Jose, CA 95110-3564 | 2019-03-29 |
1588139661 | Vicky Chi Lin | Nurse Practitioner | 100 Oak St Rm F-3, San Jose, CA 95110-2817 | 2018-10-04 |
1851884381 | Anh Tuan Huynh | Nurse Practitioner | 3100 Rubino Dr Apt 310, San Jose, CA 95125-6369 | 2018-06-09 |
Find all providers in SAN JOSE |
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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.