Antionette Nicole Dudley

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

27500 Harvard Rd
Beachwood, OH 44122-6120

Phone

(216) 640-4891

NPI assigned

Dec 4, 2020

Last updated

Dec 4, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1841895968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27500 HARVARD RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441226120",
            "telephone_number": "216-640-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27500 HARVARD RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441226120",
            "telephone_number": "216-640-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "ANTIONETTE",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DRS.Gabelman and Leizman, Inc.
• DRS.Weinberger & Vizy L.L.C
• Ivan Druchkiv
• Kimberly Drury, RN
• Alice Miller Dub, LISW
• Allison Margaret Dugan
• Matthew Dulka
• Angela Marie Dunigan, CNP
• Stefan A Dupont, M.D.
• Jillian Dura, PHARMD

• Home Health Agency in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.