Individual provider Active NPI

Lydia Caroline Dudney, AU.D.

  • Audiologist
  • Knoxville, TN
National Provider Identifier
1851799498
Registry record updated Dec 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A 0000001660 Issued in TN
Practice address
103 Suburban Rd Ste 101D
Knoxville, TN 37923-5581
Phone
(615) 769-0283
Fax
(865) 769-0281
NPI assigned
Dec 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A 0000001660 TN Primary

Addresses

Primary practice location

103 Suburban Rd Ste 101D
Knoxville, TN 37923-5581

Mailing address

8410 Ivy Falls Way Apt 1717
Knoxville, TN 37923-3164
Phone (615) 491-6194

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150714003244 TN Practitioner - Qualified Audiologist 6204149651 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of TennesseeGroup PAC ID 3072421213, 64 clinicians

Practice addresses (Care Compare)

600 Henley St
Suite 213
Knoxville, TN 37996-4502
Phone (865) 974-5453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1660TNMDOptometrist
A 0000001660TNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Tennessee CurrentSince Jan 1, 2025 Accepting new patients
Bridgewater Speech & Hearing, Inc Audiologist CurrentSince Dec 15, 2014 Accepting new patients
University of Tennessee Current Accepting new patients
University of Tennessee Audiologist CurrentSince Jan 1, 2025 Accepting new patients
Mobile Hearing of Tennessee Audiologist CurrentSince Feb 5, 2015 Accepting new patients
Greater Knoxville Ear, Nose and Throat Associates, PC CurrentSince Jun 10, 2019 Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

10055 Rhea County Hwy
Dayton, TN 37321
Phone (423) 847-6777

103 Suburban Rd
Ste 101D
Knoxville, TN 37923
Phone (865) 769-0283

600 Henley St
Ste 213
Knoxville, TN 37996
Phone (865) 974-5453

7121 Regal Ln
Ste 200A
Knoxville, TN 37918

103 Suburban Rd
Ste D101
Knoxville, TN 37923
Phone (865) 769-0283

1932 Alcoa Hwy
Ste 160
Knoxville, TN 37920
Phone (423) 637-8812

Interoperability endpoints

  • Direct secure messaging: lydia.dudney.p2@direct.360care.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1418515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418515200000",
    "number": "1851799498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8410 IVY FALLS WAY APT 1717",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233164",
            "telephone_number": "615-491-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SUBURBAN RD STE 101D",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235581",
            "telephone_number": "615-769-0283",
            "fax_number": "865-769-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDNEY",
        "first_name": "LYDIA",
        "middle_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-14",
        "last_updated": "2014-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "A 0000001660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.