Individual provider Active NPI

Markia Stewart Dudley, NP

  • Acute Care Nurse Practitioner
  • North Chesterfield, VA
National Provider Identifier
1851930838
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024178164 Issued in VA
Practice address
2602 Buford Rd
North Chesterfield, VA 23235-3422
Phone
(804) 272-8806
Fax
(888) 849-3830
NPI assigned
Dec 23, 2019
Last updated
Jan 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024178164 VA Primary
Gerontology Nurse Practitioner 363LG0600X 0024178164 VA

Addresses

Primary practice location

2602 Buford Rd
North Chesterfield, VA 23235-3422

Mailing address

2602 Buford Rd
North Chesterfield, VA 23235-3422
Phone (804) 272-8806

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
I20200701000258 VA Practitioner - Nurse Practitioner 8426471962 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Richmond IncGroup PAC ID 9830088434, 70 clinicians

Practice addresses (Care Compare)

1401 Johnston Willis Dr
North Chesterfield, VA 23235-4730
Phone (804) 272-8806

7101 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 272-8806

7700 E Parham Rd
Richmond, VA 23294-4301
Phone (804) 272-8806

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024178164VAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Hospital, Inc. CurrentSince Jun 1, 2020 Accepting new patients
Radiology Associates of Richmond Inc CurrentSince Jan 1, 2022 Accepting new patients
Mary Washington Hospital Inc. CurrentSince Jun 1, 2020 Accepting new patients

Locations

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

1001 Sam Perry Blvd
Ste 318
Fredericksburg, VA 22401
Phone (540) 741-2865

2602 Buford Rd
North Chesterfield, VA 23235
Phone 8042728806 ext. 321

7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1851930838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 BUFORD RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353422",
            "telephone_number": "804-272-8806",
            "fax_number": "888-849-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 BUFORD RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353422",
            "telephone_number": "804-272-8806",
            "fax_number": "888-849-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "MARKIA",
        "middle_name": "STEWART",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-23",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024178164",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024178164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.