Allyson Mudd, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

28185076A Issued in IN

Practice address

1402 Grand Ave
Washington, IN 47501-2122

Phone

(812) 257-8636

NPI assigned

Sep 9, 2013

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Daviess County Hospital

  dba Daviess County Hospital Physicians

  • General Acute Care Hospital
  • Washington, IN
  • NPI 1619154820
  Medicare reassignment NPD
• Deaconess Clinic Inc.

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1619123585
  Medicare reassignment
• Deaconess Memorial Medical Center Inc

  dba Memorial Healthcare of Huntingburg

  • Emergency Medicine Physician
  • Huntingburg, IN
  • NPI 1114120128
  Medicare reassignment
• Daviess County Hospital

  dba Daviess Community Hospital Orthopaedics

  • Orthopaedic Surgery Physician
  • Washington, IN
  • NPI 1083915326
  NPD
• Daviess County Hospital

  dba Daviess Community Hospital Montgomery Medical Clinic

  • Rural Health Clinic/Center
  • Montgomery, IN
  • NPI 1336959279
  NPD
• Deaconess Clinic Inc

  • Pediatrics Physician
  • Jasper, IN
  • NPI 1104617141

  Nurse Practitioner

  NPD
• Deaconess Clinic Inc

  • Pediatrics Physician
  • Washington, IN
  • NPI 1356132310

  Nurse Practitioner

  NPD
• Deaconess Memorial Medical Center Inc

  dba Deaconess Comprehensive Pain Management - Jasper

  • Pain Medicine Physician
  • Jasper, IN
  • NPI 1457164543
  NPD
• Deaconess Memorial Medical Center Inc

  dba Country Health Center

  • Rural Health Clinic/Center
  • Montgomery, IN
  • NPI 1730420829

  Nurse Practitioner

  NPD
• Deaconess Memorial Medical Center Inc

  dba Memorial Hospital and Health Care Center Neurology

  • Pulmonary Disease Physician
  • Jasper, IN
  • NPI 1326123910
  NPD (past)
• Deaconess Memorial Medical Center Inc

  dba Memorial Hospital and HealthCare Center

  • Hospitalist Physician
  • Jasper, IN
  • NPI 1588778518

  Nurse Practitioner

  NPD (past)
• Deaconess Memorial Medical Center Inc

  dba Memorial Hospital and Health Care Center Psychiatric Physician Practic

  • Psychiatry Physician
  • Jasper, IN
  • NPI 1861420689
  NPD (past)

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609545600000",
    "number": "1457786501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 760",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475010760",
            "telephone_number": "812-254-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 GRAND AVE",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475012122",
            "telephone_number": "812-257-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDD",
        "first_name": "ALLYSON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-09",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28185076A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201193390",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "allysonmudd@dchpm.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1402 Grand Ave",
            "city": "Washington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "475012122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hailey Mincey
• Jonah Minnich, HAD
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• George J Morgan, M.D.
• Movement Clinic, LLC (Movement Clinic)
• Julie Elizabeth Myers, FNP
• Alexiya Samantha Neimeister
• Macy Ann Nelson
• Ilana Neukam
• Shana Newland, HAD

• Nurse Practitioner in Washington, IN
• Providers in Washington, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.