Active NPI
Ashley Lucille Dudka, OTR
- Occupational Therapist
- De Pere, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7217
- Practice address
- 555 Redbird Cir
De Pere, WI 54115-7977 - Phone
- (920) 338-6870
- Fax
- (920) 338-6829
- NPI assigned
- Apr 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 7217 | WI | Primary |
Addresses
Primary practice location
555 Redbird Cir
De Pere, WI 54115-7977
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7210
Other practice location 1
701 Willow St
Peshtigo, WI 54157-1165
Phone (715) 582-3962
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220803002906 | WI | Practitioner - Occupational Therapist in Private Practice | 6507248838 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7217 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center, Inc. | Current | Accepting new patients |
Locations
555 Redbird Cir
De Pere, WI 54115
Phone (920) 338-6820
555 Redbird Cir
Ste 300
De Pere, WI 54115
Phone (920) 338-6830
933 Waube Ln
Green Bay, WI 54304
Phone (920) 548-9500
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
701 Willow St
Peshtigo, WI 54157
Phone (715) 582-0144
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Brillion, WI
- NPI 1962464784
-
- Rural Health Clinic/Center
- Crivitz, WI
- NPI 1174971725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1346981453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22487",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543052487",
"telephone_number": "920-445-7210",
"fax_number": "920-445-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 REDBIRD CIR",
"city": "DE PERE",
"state": "WI",
"postal_code": "541157977",
"telephone_number": "920-338-6870",
"fax_number": "920-338-6829"
}
],
"practiceLocations": [
{
"address_1": "701 Willow St",
"address_purpose": "LOCATION",
"city": "Peshtigo",
"state": "WI",
"postal_code": "541571165",
"country_code": "US",
"telephone_number": "715-582-3962",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUDKA",
"first_name": "ASHLEY",
"middle_name": "LUCILLE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-05",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "7217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in De Pere, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.