Angela M Mudd, M.S.W.

Primary specialty

SpecialistTaxonomy code 174400000X

License

364 Issued in KY

Practice address

3150 Custer Dr
Suite 203
Lexington, KY 40517-4010

Phone

(859) 271-7788

Fax

(859) 273-3306

NPI assigned

Feb 20, 2007

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

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kentucky Services, LLC

  • Marriage & Family Therapist
  • Lexington, KY
  • NPI 1609448059
  NPD (past)
• Kentucky Services, LLC

  • Primary Care Nurse Practitioner
  • Lexington, KY
  • NPI 1811602832
  NPD (past)
• Kentuckyone Health Medical Group, Inc.

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1104875970
  NPD (past)
• Saint Joseph Medical Foundation, Inc.

  • Family Medicine Physician
  • London, KY
  • NPI 1700226271
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104961952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 CUSTER DR",
            "address_2": "SUITE 203",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174010",
            "telephone_number": "859-271-7788",
            "fax_number": "859-273-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 CUSTER DR",
            "address_2": "SUITE 203",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174010",
            "telephone_number": "859-271-7788",
            "fax_number": "859-273-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDD",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mr. Taxi, LLC
• MRT Medical
• Allison Lynn Mruk, PHARMD
• Claire Duvall Muchow
• Ryan D. Muchow, M.D.
• Tanner Muehler, PSY.D.
• Allison Lauren Mueller, APRN
• Joseph Conrad Mueller, MD
• Marguerite E. Mueller, M.D.
• Taryn Batherson Mueller, CSW

• Specialist in Lexington, KY
• Providers in Lexington, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.