Active NPI
Susan G. Dudley, N.P.
- Ambulatory Women's Health Care Registered Nurse
- Ringgold, GA
National Provider Identifier
1710047873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Women's Health Care Registered Nurse
- License
- RN121801 NP
- Practice address
- 178 Carrigan Cir
Ringgold, GA 30736-6769 - Phone
- (423) 580-8773
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | RN121801 NP | GA | Primary |
Addresses
Primary practice location
178 Carrigan Cir
Ringgold, GA 30736-6769
Mailing address
178 Carrigan Cir
Ringgold, GA 30736-6769
Phone (423) 580-7773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN121801 NP | GA | MD | Ambulatory Women's Health Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185840000000",
"number": "1710047873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "178 CARRIGAN CIR",
"city": "RINGGOLD",
"state": "GA",
"postal_code": "307366769",
"telephone_number": "423-580-7773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 CARRIGAN CIR",
"city": "RINGGOLD",
"state": "GA",
"postal_code": "307366769",
"telephone_number": "423-580-8773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDLEY",
"first_name": "SUSAN",
"middle_name": "G.",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "GA",
"license": "RN121801 NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ringgold, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.