ANGELA M MUDD M.S.W.
NPI 1104961952
Specialist in Lexington, KY

Q: What is Angela Mudd's NPI number?

The NPI number for Angela Mudd is 1104961952. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Q: What is Angela Mudd's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Angela Mudd was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 20, 2007PECOS EnrolledAccepts Medicare Assignment

3150 CUSTER DR, SUITE 203, LEXINGTON, KY 40517(859) 271-7788(859) 273-3306 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Angela M Mudd M.s.w. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA M MUDD M.S.W. (NPI 1104961952) is an individual specialist in Lexington, Kentucky, licensed in Kentucky (364) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1104961952

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameANGELA M MUDDCredential: M.S.W.

Location Address3150 CUSTER DR, SUITE 203Lexington, KY 40517-4010

Mailing Address3150 Custer Dr, Suite 203Lexington, KY 40517-4010 · (859) 271-7788 · Fax (859) 273-3306

Phone(859) 271-7788

Fax(859) 273-3306

Sole ProprietorYes

Medical School CMSOtherGraduated 1979

Enumeration DateFebruary 20, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104961952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in KY · 364

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3150 CUSTER DR, Lexington, KY 40517

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Angela M Mudd M.s.w. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789801606

PECOS Enrollment IDI20140815001616

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEVIN EARL STANLEY PH.D.

Psychologist

3150 CUSTER DR, SUITE 201
LEXINGTON, KY 40517

Fayette County (859) 979-3590

MRS. MELISSA WARD AMMERMAN LCSW

Social Worker (Clinical)

3150 CUSTER DR, SUITE 203
LEXINGTON, KY 40517

Fayette County (859) 271-7788

THE GROVE AT LEXINGTON

Day Training, Developmentally Disabled Services

3150 CUSTER DR, SUITE 201
LEXINGTON, KY 40517

Fayette County (859) 271-1101

LYNETTE DEE SLUSHER LCSW, CADC

Social Worker (Clinical)

3150 CUSTER DR
LEXINGTON, KY 40517

Fayette County (859) 273-6778

ALMA BANKS LCSW

Social Worker (Clinical)

3150 CUSTER DR
LEXINGTON, KY 40517

Fayette County (502) 219-3488

PATRICIA LYNN WHITE

Case Manager/Care Coordinator

3150 CUSTER DR
LEXINGTON, KY 40517

Fayette County (859) 368-0434

STEWART VENTURES LLC

Psychologist (Addiction (Substance Use Disorder))

3150 CUSTER DR, STE 300 AND STE 302
LEXINGTON, KY 40517

Fayette County (859) 368-0434

PAULINE RUTH SIDERS APRN

Nurse Practitioner (Psychiatric/Mental Health)

3150 CUSTER DR, SUITE 201
LEXINGTON, KY 40517

Fayette County (859) 229-0085

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Mudd's NPI number?

The NPI number for Angela Mudd is 1104961952. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Angela Mudd located?

Angela Mudd practices at 3150 Custer Dr Suite 203, Lexington, KY 40517. The listed phone number is (859) 271-7788.

What is Angela Mudd's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Angela Mudd enrolled in Medicare?

Yes. Angela Mudd is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Angela Mudd was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.