Corrie Mae Dudley, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2011022113 Issued in MO

Practice address

150 S Mount Auburn Rd
Suite 318
Cape Girardeau, MO 63703-4911

Phone

(573) 339-1166

Fax

(573) 339-7166

NPI assigned

Jul 18, 2011

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)

Enrolled

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1386932911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843225",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641843225",
            "telephone_number": "708-633-1234",
            "fax_number": "708-342-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S MOUNT AUBURN RD",
            "address_2": "SUITE 318",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034911",
            "telephone_number": "573-339-1166",
            "fax_number": "573-339-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "CORRIE",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2011022113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DRX - East Missouri Providers, P.C.
• DRX - FC Management 001, LLC (Doctors Express - Cape Girardeau)
• Dsmedical, LLC
• John W Dubin, PHD, LPC
• Zenon M Duda, D.P.M.
• Suzanne Marie Dufek, CRNA
• Samantha Lynn Duffy, M.A.CCC-SLP
• Victoria Ligonis Duke
• Kristan Dumas
• Elizabeth Ann Dumey, CRNA

• Family Nurse Practitioner in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.