Individual provider Active NPI

Barbara L. Dudley, CNM

  • Obstetrics & Gynecology Nurse Practitioner
  • Louisa, VA
National Provider Identifier
1922472042
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
0001179626 Issued in VA
Practice address
240 Goldenberry LN
Louisa, VA 23093-3859
Phone
(434) 989-5686
NPI assigned
Dec 1, 2015
Last updated
Jan 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 0001179626 VA Primary
Advanced Practice Midwife 367A00000X 0024173061 VA

Addresses

Primary practice location

240 Goldenberry LN
Louisa, VA 23093-3859

Mailing address

240 Goldenberry LN
Louisa, VA 23093-3859
Phone (434) 989-5686

Other names 1

  • Barbara L. Gordon Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160209002670 VA Practitioner - Certified Nurse Midwife (CNM) 9335443464 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
0001179626VAMDObstetrics & Gynecology Nurse Practitioner
0024173061VAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Dec 7, 2015 Accepting new patients
Central Virginia Health Services Inc Current Accepting new patients
Obhg Virginia, LLC CurrentSince Jan 5, 2021 Accepting new patients

Locations

1221 Lee St
Charlottesville, VA 22908
Phone (434) 924-5219

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

115 Jefferson Hwy
Ste 9
Louisa, VA 23093
Phone (540) 967-9401

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

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.

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1922472042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 GOLDENBERRY LN",
            "city": "LOUISA",
            "state": "VA",
            "postal_code": "230933859",
            "telephone_number": "434-989-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 GOLDENBERRY LN",
            "city": "LOUISA",
            "state": "VA",
            "postal_code": "230933859",
            "telephone_number": "434-989-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "BARBARA",
        "middle_name": "L.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-01",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "VA",
            "license": "0001179626",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024173061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "GORDON",
            "middle_name": "L.",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisa, VA

Sources for this page

Verify at the official NPI Registry.