Michelle Cole Dudley, RN, HEALTH COACH

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

55 Inlet Harbor Rd # 8
Ponce Inlet, FL 32127-7272

Phone

(704) 965-3299

NPI assigned

May 14, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1396235404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 BAY HARBOUR DR",
            "city": "PONCE INLET",
            "state": "FL",
            "postal_code": "321277241",
            "telephone_number": "704-965-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 INLET HARBOR RD # 8",
            "city": "PONCE INLET",
            "state": "FL",
            "postal_code": "321277272",
            "telephone_number": "704-965-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "MICHELLE",
        "middle_name": "COLE",
        "name_prefix": "Mrs.",
        "credential": "RN, HEALTH COACH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "FL",
            "license": "9465620",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Busby
• Angela Marie Campbell, NP-C
• Carepro LLC
• Spencer Dabbs
• Marrie Koch
• Laura Foster Kraljev, LCSW
• Deborah L Kramer, LMFT
• Arthur Lassee, LMT
• Kristi A Myers, CRNA

• Health Educator in Ponce Inlet, FL
• Providers in Ponce Inlet, FL by specialty
• Health Educator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.