MRS. JUDY PEDIGO (NPI# 1902982861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902982861 |
| Entity Type | Individual |
| Full Name | MRS. JUDY PEDIGO |
| Credential | FNP |
| Practice Address |
115 E Business Highway 60 Dexter MO 63841 |
| Mailing Address |
601 S Mulberry Dexter MO 63841 |
| Practice Telephone | 5735683686 |
| Mailing Telephone | 5735683686 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2010-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 073081 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
115 E BUSINESS HIGHWAY 60 |
| City | DEXTER |
| State | MO |
| Zip Code | 63841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336359017 | Jerry Chad White | Family Medicine | 115 E Business Highway 60, Dexter, MO 63841-1000 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558941 | Christa Renee Mcbroom | Pharmacist | 2025 Business Hwy 60w, Dexter, MO 63841 | 2020-11-02 |
| 1306230107 | David Mulcahy | Pharmacist | 904 West Business Hwy 60, Dexter, MO 63841 | 2015-03-19 |
| 1285038935 | Clearwater In-home Care, Inc. | Technician | 1525 Business Highway 60, Suite C, Dexter, MO 63841 | 2014-10-09 |
| 1720404064 | William Simmons | Pharmacist | 904 W Business Highway 60, Dexter, MO 63841 | 2014-03-11 |
| 1134498736 | Susan Caroline Jones | Physical Therapist | 913 West Business Hwy 60, Dexter, MO 63841 | 2011-12-28 |
| 1427350594 | Dexter Hospital LLC | Family Medicine | 2025 W Bus Hwy 60, Dexter, MO 63841 | 2010-11-23 |
| 1992028112 | Hilda Fuwell's Residential Care LLC | Clinic/Center | 900 South One Mile Road, Dexter, MO 63841 | 2010-03-02 |
| 1508197047 | Super D Drugs Acquisition Co | Durable Medical Equipment & Medical Supplies | 907 West Business Hwy. 60, Dexter, MO 63841 | 2010-01-22 |
| 1215262183 | Ozark Wellness & Athletic Club | Physical Therapist | 1521 W Bus. Hwy. 60, Dexter, MO 63841 | 2009-10-12 |
| 1225268618 | Practice Tee, LLC | Family Medicine | 1523 W Business Hwy 60, Dexter, MO 63841 | 2009-07-20 |
| Find all providers in zip 63841 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357141 | Melissa Ann Lovins-bewley | Nurse Practitioner | 14484 County Road 640, Dexter, MO 63841-8667 | 2020-08-21 |
| 1609332089 | Laurie Pullum | Nurse Practitioner | 12669 Regent Oak Dr, Dexter, MO 63841-9302 | 2019-02-11 |
| 1437141421 | Sharon K Arnold | Nurse Practitioner | 204 N Main, Dexter, KS 67038 | 2005-08-17 |
| 1225030497 | Kristi Vander Hyde | Nurse Practitioner | 7300 Dexter-ann Arbor Rd, Dexter, MI 48130-8598 | 2005-06-01 |
| 1851765614 | Leah Legrand | Nurse Practitioner | 1200 N One Mile Rd, Dexter, MO 63841-1000 | 2015-11-17 |
| 1841685989 | Angela Weiss | Nurse Practitioner | 1200 N One Mile Rd, Dexter, MO 63841-1000 | 2015-04-06 |
| 1194019265 | Susan E Maples | Nurse Practitioner | 7300 Dexter-ann Arbor Road, Dexter, MI 48130-8598 | 2011-06-06 |
| 1588968606 | Kelly Fields-wilburn | Nurse Practitioner | 610 N One Mile Rd, Dexter, MO 63841-2539 | 2011-01-04 |
| 1417269242 | Lori Michelle Towne | Nurse Practitioner | 41 High St, Dexter, ME 04930-1311 | 2010-07-09 |
| 1528273117 | Stacey Grays | Nurse Practitioner | 1300 N One Mile Rd, Dexter, MO 63841-1042 | 2007-05-14 |
| Find all providers in DEXTER | ||||
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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.