Individual Healthcare Provider
Vanessa Kudlock, NP
Provider's NPPES record last updated: May 7, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1033752258
- Primary Specialty
- Nurse Practitioner
- Practice Location
- Belle Fourche, South Dakota
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 3:32 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Taxonomy code 363L00000X
Provider-Reported License Information
- Nurse Practitioner (South Dakota)
- CP001659
Practice Locations
Practice Location
2398 5th Ave Ste 101
Belle Fourche, South Dakota 57717-2340
Phone: (605) 568-0191
Additional Practice Location
520 Rose Ln
Wickenburg, Arizona 85390-1447
Phone: (928) 668-1833
Fax: (928) 684-2434
Additional Practice Location
523 Rose Ln
Wickenburg, Arizona 85390-1448
Phone: (928) 668-1833
Fax: (928) 684-2434
Additional Practice Location
26750 S Santa Fe Rd
Ste B
Congress, Arizona 85332
Phone: (928) 668-1833
Fax: (928) 684-2434
Additional Practice Location
32919 N Center St
Wittmann, Arizona 85361-9433
Phone: (928) 668-1833
Fax: (928) 684-2434
Record Information
- Enumeration Date
- October 21, 2019
- Provider's NPPES Record Last Updated
- May 7, 2024
- Certification Date
- April 26, 2024
- NPISignal NPPES Dataset
- August 2026
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