Vivian Dudley
Vivian Dudley is a Nurse Practitioner provider (Nurse Practitioner) practicing in Bourbon, MO, registered in the NPPES registry with NPI 1013018654 since 2006.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1013018654 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Vivian Dudley |
| Sex | Female |
| Practice address | 125 N OLD HWY 66, Bourbon, MO, 65441 |
| Phone | 5736792006 |
| Fax | 5736792009 |
| Enumeration date | 2006-09-26 |
| Last updated in NPPES | 2014-08-25 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | Primary | 142760 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013018654 | Medicaid | MO | — |
| 425076205 | Medicaid | MO | — |
| P01134574 | Other | MO | RAILROAD MEDICARE |
Copy-ready billing details
Provider: Vivian Dudley NPI: 1013018654 Taxonomy: 363L00000X (Nurse Practitioner) Address: 125 N OLD HWY 66, Bourbon, MO, 65441
Verify this record
Cross-check NPI 1013018654 against the authoritative CMS record: view Vivian Dudley on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Vivian Dudley?
Where does Vivian Dudley practice?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-08-25.