Active NPI
Catherine R Dudley, PA-C
- Medical Physician Assistant
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 4034
- Practice address
- 759 Chestnut Street
Springfield, MA 01199 - Phone
- (413) 794-3233
- NPI assigned
- Mar 1, 2009
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 4034 | MA | Primary |
Addresses
Primary practice location
759 Chestnut Street
Springfield, MA 01199
Mailing address
280 Chestnut Street
2ND Floor
Springfield, MA 01199
Phone (413) 794-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Elm St
Ludlow, VT 05149-1301
Phone (802) 228-8867
1 Hospital CT
Bellows Falls, VT 05101-1489
Phone (802) 463-9000
Hospital & facility affiliations
- Rutland Regional Medical Center
- Springfield Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4034 | MA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutland Hospital, Inc | Current | Accepting new patients | |
| Mid Vermont Pathology PC | Current | Accepting new patients | |
| Springfield Medical Care Systems Inc | Current | Accepting new patients | |
| Rutland Hospital, Inc. | Current | Accepting new patients |
Locations
1 Hospital Ct
Bellows Falls, VT 05101
Phone (802) 463-1292
160 Allen St
Rutland, VT 05701
1 Commons St
Rutland, VT 05701
Phone (802) 747-1857
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/6f43d0e7-6ff2-489b-abdc-44e8a5e0ca0a/
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Springfield, VT
- NPI 1730336843
-
- Emergency Medicine Physician
- Rutland, VT
- NPI 1194789941
-
- Anatomic Pathology & Clinical Pathology Physician
- Rutland, VT
- NPI 1316085814
-
- Psychiatric Hospital Unit
- Rutland, VT
- NPI 1467416206
-
- Federally Qualified Health Center (FQHC)
- Springfield, VT
- NPI 1457979130
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rutland, VT
- NPI 1720042203
-
- Critical Access Hospital Clinic/Center
- Springfield, VT
- NPI 1033225875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302652800000",
"number": "1508006750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 CHESTNUT STREET",
"address_2": "2ND FLOOR",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "01199",
"telephone_number": "413-794-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "759 CHESTNUT STREET",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "01199",
"telephone_number": "413-794-3233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDLEY",
"first_name": "CATHERINE",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-01",
"last_updated": "2011-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MA",
"license": "4034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.