Amy Jo Dudley (NPI# 1851604813, PAC ID# 3072705474) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1851604813 |
| PAC ID by PECOS | 3072705474 |
| Professional Enrollment ID | I20101004000905 |
| Full Name | Amy Jo Dudley |
| Organization Legal Name | THE CHRISTIAN AND MISSIONARY ALLIANCE FOUNDATION INC |
| Address |
15051 Shell Point Blvd Fort Myers FL 33908-1639 |
| Phone Number | 2394542146 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9739072232 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 15051 Shell Point Blvd, Fort Myers, FL 33908-1639 | 2394542146 | THE CHRISTIAN AND MISSIONARY ALLIANCE FOUNDATION INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | THE CHRISTIAN AND MISSIONARY ALLIANCE FOUNDATION INC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca I Kimpel | Internal Medicine | The Christian and Missionary Alliance Foundation Inc | 8100 Arbor Ct, Fort Myers, FL 33908-2865 |
| Lewis T Caldrone Jr. | Nurse Practitioner | The Christian and Missionary Alliance Foundation Inc | 15051 Shell Point Blvd, Fort Myers, FL 33908-1639 |
| Kathy A Fratrick | Clinical Social Worker | The Christian and Missionary Alliance Foundation Inc | 15051 Shell Point Blvd, Fort Myers, FL 33908-1639 |
| Kathy J Thompson | Family Medicine | The Christian and Missionary Alliance Foundation Inc | 15051 Shell Point Blvd, Fort Myers, FL 33908-1639 |
| Carol D Clark | Nurse Practitioner | The Christian and Missionary Alliance Foundation Inc | 15051 Shell Point Blvd, Fort Myers, FL 33908-1639 |
| Susan Lynn Moran | Nurse Practitioner | The Christian and Missionary Alliance Foundation Inc | 15051 Shell Point Blvd, Fort Myers, FL 33908-1639 |
| Murilo Jorge Lima | Family Medicine | The Christian and Missionary Alliance Foundation Inc | 15051 Shell Point Blvd, Fort Myers, FL 33908-1639 |
| Gary Goforth | Family Medicine | The Christian and Missionary Alliance Foundation Inc | 15051 Shell Point Blvd, Fort Myers, FL 33908-1639 |
| Ralph C Votolato | Psychologist, Clinical | The Christian and Missionary Alliance Foundation Inc | 15051 Shell Point Blvd, Fort Myers, FL 33908-1639 |
| Wui Chien | Internal Medicine | The Christian and Missionary Alliance Foundation Inc | 15051 Shell Point Blvd, Fort Myers, FL 33908-1639 |
| Street Address |
15051 SHELL POINT BLVD |
| City | FORT MYERS |
| State | FL |
| Zip | 33908-1639 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lewis T Caldrone Jr. | Nurse Practitioner | The Christian and Missionary Alliance Foundation Inc | 15051 Shell Point Blvd, Fort Myers, FL 33908-1639 |
| Kathy A Fratrick | Clinical Social Worker | The Christian and Missionary Alliance Foundation Inc | 15051 Shell Point Blvd, Fort Myers, FL 33908-1639 |
| Kathy J Thompson | Family Medicine | The Christian and Missionary Alliance Foundation Inc | 15051 Shell Point Blvd, Fort Myers, FL 33908-1639 |
| Carol D Clark | Nurse Practitioner | The Christian and Missionary Alliance Foundation Inc | 15051 Shell Point Blvd, Fort Myers, FL 33908-1639 |
| Susan Lynn Moran | Nurse Practitioner | The Christian and Missionary Alliance Foundation Inc | 15051 Shell Point Blvd, Fort Myers, FL 33908-1639 |
| Murilo Jorge Lima | Family Medicine | The Christian and Missionary Alliance Foundation Inc | 15051 Shell Point Blvd, Fort Myers, FL 33908-1639 |
| Gary Goforth | Family Medicine | The Christian and Missionary Alliance Foundation Inc | 15051 Shell Point Blvd, Fort Myers, FL 33908-1639 |
| Ralph C Votolato | Psychologist, Clinical | The Christian and Missionary Alliance Foundation Inc | 15051 Shell Point Blvd, Fort Myers, FL 33908-1639 |
| Wui Chien | Internal Medicine | The Christian and Missionary Alliance Foundation Inc | 15051 Shell Point Blvd, Fort Myers, FL 33908-1639 |
| Claude Degraff | Family Practice | The Christian and Missionary Alliance Foundation Inc | 15051 Shell Point Blvd, Fort Myers, FL 33908-1639 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Craig Valentine | Optometry | 16970 San Carlos Blvd, Suite 105, Fort Myers, FL 33908-1225 | |
| Daniel Cummings | Qualified Speech Language Pathologist | Healthpro Heritage Rehab and Fitness LLC | 9731 Commerce Ctr Ct, Fort Myers, FL 33908-1400 |
| Luz M Halpin | Occupational Therapy | Healthpro Heritage Rehab and Fitness LLC | 9731 Commerce Ctr Ct, Fort Myers, FL 33908-1400 |
| Ilonka Sharell | Physical Therapy | Healthpro Heritage Rehab and Fitness LLC | 9731 Commerce Ctr Ct, Fort Myers, FL 33908-1400 |
| Helen Bizjack | Physical Therapy | Healthpro Heritage Rehab and Fitness LLC | 9731 Commerce Ctr Ct, Fort Myers, FL 33908-1400 |
| Helen M Handley | Qualified Speech Language Pathologist | Healthpro Heritage Rehab and Fitness LLC | 9731 Commerce Ctr Ct, Fort Myers, FL 33908-1400 |
| Kelly Lewis Hunt | Physical Therapy | Healthpro Heritage Rehab and Fitness LLC | 9731 Commerce Ctr Ct, Fort Myers, FL 33908-1400 |
| Leslie Rake | Occupational Therapy | Healthpro Heritage Rehab and Fitness LLC | 9731 Commerce Ctr Ct, Fort Myers, FL 33908-1400 |
| Victoria Mallow | Physical Therapy | Healthpro Heritage Rehab and Fitness LLC | 9731 Commerce Ctr Ct, Fort Myers, FL 33908-1400 |
| Beryl Licu | Physical Therapy | Healthpro Heritage Rehab and Fitness LLC | 9731 Commerce Ctr Ct, Fort Myers, FL 33908-1400 |
| Find all physicians in zip 33908 | |||
| City | FORT MYERS |
| Zip Code | 33908 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FORT MYERS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Amy Jo Dudley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.