TRACEY SUZANNE DUDLEY APRN NPI 1578065777

NPI Information

  • NPI: 1578065777
  • Provider Name: TRACEY SUZANNE DUDLEY, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3613 NW 56TH ST STE 150
    OKLAHOMA CITY, OK
    ZIP 73112
  • Phone: (405) 600-1210

Map and Directions

Get Directions

NPI Details

Tracey Suzanne Dudley, APRN is a family nurse practitioner in Oklahoma City, OK. Tracey Suzanne Dudley, APRN NPI is 1578065777. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3613 NW 56TH ST STE 150
OKLAHOMA CITY, OK
ZIP 73112-506
Phone: (405) 600-1210

The NPI 1578065777 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/2/2018 and was last updated on 2/3/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily101402OKLAHOMAYes
2364SP0200XClinical Nurse SpecialistPediatrics101402OKLAHOMANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI