Morgan Church Dudley, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000026160 Issued in VA

Practice address

200 Bob Finley Way
Charlottesville, VA 22903-7045

Phone

(434) 293-0633

NPI assigned

Nov 11, 2017

Sex

Female

Sole proprietor

No

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

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": "1510358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510358400000",
    "number": "1275046302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 BLENHEIM AVE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229026213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOB FINLEY WAY",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229037045",
            "telephone_number": "434-293-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "MORGAN",
        "middle_name": "CHURCH",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-11",
        "last_updated": "2017-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "2000026160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael P Dubien, OD
• Christine M. Dubroff, N.P.
• Zahria Duck
• Donald J. Dudley, M.D.
• Logan Scott Dudley
• Thomas H Dudley Jr., M.D.
• Ian Matthew Duensing, M.D.
• Leah Coleman Duesterhaus, M.ED CCC-SLP
• Hannah M Duff, DPT
• Lillian Elaine Duffee, M.D.

• Athletic Trainer in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2017; 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.