Individual provider Active NPI

Dudley Kent Norman, ANP

  • Adult Health Nurse Practitioner
  • Midlothian, VA
National Provider Identifier
1265878656
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024170860 Issued in VA
Practice address
13813 Vincent LN
Midlothian, VA 23114-4616
Phone
(804) 464-1285
Fax
(804) 464-2466
NPI assigned
May 13, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024170860 VA Primary

Addresses

Primary practice location

13813 Vincent LN
Midlothian, VA 23114-4616

Mailing address

13813 Vincent LN
Midlothian, VA 23114-4616
Phone (804) 464-1285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0024170860VAMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1265878656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13813 VINCENT LN",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144616",
            "telephone_number": "804-464-1285",
            "fax_number": "804-464-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13813 VINCENT LN",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144616",
            "telephone_number": "804-464-1285",
            "fax_number": "804-464-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "DUDLEY",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024170860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.