Susan K Dudding, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0086125 Issued in MN

Practice address

11800 State Ave
Brainerd, MN 56401-7308

Phone

(218) 828-2787

Fax

(218) 828-6082

NPI assigned

Dec 19, 2006

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)

Not enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

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.

• C.a.R.E.-Brainerd

  • Substance Abuse Rehabilitation Facility
  • Brainerd, MN
  • NPI 1659445229
  NPD (past)
• Central Lakes Community Dental Clinic

  • Public Health Dentistry
  • Brainerd, MN
  • NPI 1467508226
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1659434744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9314 INTERLACHEN RD",
            "city": "LAKE SHORE",
            "state": "MN",
            "postal_code": "564688738",
            "telephone_number": "218-828-2787",
            "fax_number": "218-828-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 STATE AVE",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564017308",
            "telephone_number": "218-828-2787",
            "fax_number": "218-828-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDDING",
        "first_name": "SUSAN",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "0086125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Discovery Woods Montessori
• Catherine Disterhaupt, LPCC
• Shawn Rae Disterhaupt
• Marci Marie Douts, LPCC
• Samuel Duberowski, DDS
• Troy M Duininck, MD
• Karli G Dullum, APRN, CNP
• Roberta Dume, PHARMD
• Emily Anne Dunaisky, M.AC
• Peter Dunphy

• Family Nurse Practitioner in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.