LINDA SUSAN MUDD PNP
NPI 1790943710
Nurse Practitioner - Pediatrics in Saint Louis, MO

Active since May 27, 2008
12700 SOUTHFORK RD, STE 140, SAINT LOUIS, MO 63128(314) 849-3320(314) 849-7766 Get Directions Write a Review

NPPES record last updated: May 27, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Linda Susan Mudd Pnp NPPES

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

LINDA SUSAN MUDD PNP (NPI 1790943710) is an individual pediatrics provider in Saint Louis, Missouri, licensed in Missouri (060827) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1790943710
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameLINDA SUSAN MUDDCredential: PNP
Location Address12700 SOUTHFORK RD, STE 140Saint Louis, MO 63128-3201
Mailing Address12700 Southfork Rd, Ste 140Saint Louis, MO 63128-3201 · (314) 849-3320
Fax(314) 849-7766
Sole ProprietorNo
Enumeration DateMay 27, 2008
NPI 1790943710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in MO · 060827
12700 SOUTHFORK RD, Saint Louis, MO 63128

Other Providers at the Same Location NPPES 20

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

Internal Medicine
12700 SOUTHFORK RD, STE 200/220
SAINT LOUIS, MO 63128
Pediatrics
12700 SOUTHFORK RD, STE 215
SAINT LOUIS, MO 63128
Nurse Practitioner (Family)
12700 SOUTHFORK RD, STE 280
SAINT LOUIS, MO 63128
Internal Medicine (Geriatric Medicine)
12700 SOUTHFORK RD, SUITE 105
SAINT LOUIS, MO 63128
Internal Medicine
12700 SOUTHFORK RD, STE 290
SAINT LOUIS, MO 63128
Internal Medicine
12700 SOUTHFORK RD, STE 270
SAINT LOUIS, MO 63128
Internal Medicine
12700 SOUTHFORK RD, SUITE 200/220
SAINT LOUIS, MO 63128
Obstetrics & Gynecology
12700 SOUTHFORK RD, STE 230
SAINT LOUIS, MO 63128

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 Linda Mudd's NPI number?

The NPI number for Linda Mudd is 1790943710. It was assigned to this individual provider in the NPPES registry on May 27, 2008.

Where is Linda Mudd located?

Linda Mudd practices at 12700 Southfork Rd Ste 140, Saint Louis, MO 63128. The listed phone number is (314) 849-3320.

What is Linda Mudd's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Linda Mudd was last updated on May 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.