Individual provider Active NPI

Ashley Rose Dudden, CRNP

  • Family Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1790072254
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024177881 Issued in VA
Practice address
4035 Electric Rd Ste a
Roanoke, VA 24018-8449
Phone
(540) 772-8670
Fax
(540) 772-7901
NPI assigned
Jul 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN615194 PA
Nurse Practitioner 363L00000X SP010962 PA
Family Nurse Practitioner 363LF0000X 337934 NY
Family Nurse Practitioner 363LF0000X 0024177881 VA Primary

Addresses

Primary practice location

4035 Electric Rd Ste a
Roanoke, VA 24018-8449

Mailing address

4035 Electric Rd Ste a
Roanoke, VA 24018-8449
Phone (540) 772-8670

Other names 1

  • Ashley Worden Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adudden118933@direct.carilionclinic.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20190911001169 VA Practitioner - Nurse Practitioner 8729257100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians

Practice addresses (Care Compare)

1935 W Main St
Salem, VA 24153-3109
Phone (540) 302-0190

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
337934NYMDInternal Medicine Physician
RN615194PAMDNurse Practitioner
0024177881VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Healthcare Corporation CurrentSince Aug 19, 2019 Accepting new patients
Carilion Emergency Services, Inc. CurrentSince Aug 19, 2019 Accepting new patients
Carilion Healthcare Corporation CurrentSince Aug 19, 2019 Accepting new patients

Locations

434 Peppers Fry Rd NW
Christiansburg, VA 24073
Phone (540) 382-6000

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

4035 Electric Rd
Ste A
Roanoke, VA 24018
Phone (540) 772-8670

1935 W Main St
Salem, VA 24153
Phone (540) 302-0190

Interoperability endpoints

  • Direct secure messaging: adudden118933@direct.carilionclinic.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1790072254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 ELECTRIC RD STE A",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240188449",
            "telephone_number": "540-772-8670",
            "fax_number": "540-772-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 ELECTRIC RD STE A",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240188449",
            "telephone_number": "540-772-8670",
            "fax_number": "540-772-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDDEN",
        "first_name": "ASHLEY",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "RN615194",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP010962",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337934",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024177881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adudden118933@direct.carilionclinic.org",
            "affiliation": "N",
            "endpointDescription": "adudden118933@direct.carilionclinic.org",
            "address_1": "4035 Electric Rd Ste A",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240188449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "WORDEN",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.