Kristin Dudley, CPM, LM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

99353 Issued in TX

Practice address

921 W New Hope Dr Ste 605
Cedar Park, TX 78613-6786

Phone

(512) 786-4333

Fax

(888) 519-8330

NPI assigned

Oct 18, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1073089983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 FAIRFIELD LOOP",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786419483",
            "telephone_number": "512-786-4333",
            "fax_number": "888-519-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 W NEW HOPE DR STE 605",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786136786",
            "telephone_number": "512-786-4333",
            "fax_number": "888-519-8330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Cole Dr",
            "address_purpose": "LOCATION",
            "city": "Liberty Hill",
            "state": "TX",
            "postal_code": "786424513",
            "country_code": "US",
            "telephone_number": "512-786-4333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "KRISTIN",
        "credential": "CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "TX",
            "license": "99353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "8885198330",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "921 W New Hope Dr Ste 605",
            "city": "Cedar Park",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786136786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Cedar Park, TX
• Midwife in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.