KRISTEN R RUDOLPH (NPI# 1295054591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295054591 |
| Entity Type | Individual |
| Full Name | KRISTEN R RUDOLPH |
| Credential | RD, LDN |
| Practice Address |
11279 Perry Hwy Suite 105 Wexford PA 15090-9381 |
| Mailing Address |
11279 Perry Hwy Suite 450 Wexford PA 15090-9381 |
| Practice Telephone | 7249343334 |
| Practice Fax Number | 7249349020 |
| Mailing Telephone | 7249331100 |
| Mailing Fax Number | 7249331160 |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2015-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DN004182 | PA | Dietary & Nutritional Service Providers |
| Street Address |
11279 PERRY HWY SUITE 105 |
| City | WEXFORD |
| State | PA |
| Zip Code | 15090-9381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495426 | Robin P Gehris | Dermatology | 11279 Perry Hwy, Ste 108, Wexford, PA 15090-9303 | 2005-05-27 |
| 1346854452 | Danielle Lynn Henderson | Counselor | 11279 Perry Hwy, Wexford, PA 15090-9381 | 2020-09-04 |
| 1881217214 | Natalie Catherine Tyner | Counselor | 11279 Perry Hwy, Wexford, PA 15090-9381 | 2020-05-20 |
| 1285256891 | Colleen Elizabeth Fisher | Counselor | 11279 Perry Hwy, Wexford, PA 15090-9381 | 2020-05-18 |
| 1215567706 | Stephanie Marie Gigler | Psychologist | 11279 Perry Hwy, Wexford, PA 15090-9381 | 2020-01-23 |
| 1528698743 | Shelby Flynn | Social Worker | 11279 Perry Hwy, Wexford, PA 15090-9381 | 2020-01-16 |
| 1013566447 | Amber Lee Miller | Counselor | 11279 Perry Hwy, Wexford, PA 15090-9381 | 2019-09-09 |
| 1215585187 | Amanda Martin | Counselor | 11279 Perry Hwy, Wexford, PA 15090-9381 | 2019-09-03 |
| 1275189748 | Cary C Truley Jr. | Counselor | 11279 Perry Hwy, Wexford, PA 15090-9381 | 2019-08-12 |
| 1174083117 | Sirena Ann Claxon | Counselor | 11279 Perry Hwy, Wexford, PA 15090-9381 | 2019-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932746443 | Lauren Jennifer Kinder | Nurse Practitioner | 103 North Meadows Dr., Suite 220, Wexford, PA 15090 | 2019-12-03 |
| 1235608365 | Pittsburgh Ear LLC | Audiologist | 6041 Wallace Road Ext, Suite 110, Wexford, PA 15090 | 2018-11-19 |
| 1659847739 | Anna Zenkova | Physician Assistant | 10466 Perry Highway, Baierl Honda Cpo Building. 2nd Floor., Wexford, PA 15090 | 2018-10-16 |
| 1831674571 | Comprehensive Care Multi-specialty Physician Organization PC | Internal Medicine | 6400 Brooktree Court., Suite. 320, Wexford, PA 15090 | 2018-09-28 |
| 1760989115 | Kerry L Vaughn | Nurse Practitioner | 12311 Perry Hwy Fl 1, Wexford, PA 15090 | 2018-04-11 |
| 1821446097 | John Richard Moesch | Internal Medicine | 9000 Brooktree Rd, Brooktree Office Park, Suite 2000, Hexford, PA 15090 | 2016-05-28 |
| 1336595511 | Kelly Mea | Occupational Therapist | 10475 Perry Hwy Ste 106g, Wexford, PA 15090 | 2016-05-06 |
| 1194194282 | Natassia Dickey | Counselor | 101 N Meadows Dr Ste 234, Wexford, PA 15090 | 2015-09-18 |
| 1912382631 | Jessica Hamilton | Dietitian, Registered | 155 Towne Centre Avenue, Wexford, PA 15090 | 2015-07-23 |
| 1205211224 | Tamara Domnitz | Optometrist | 110 Vip Dr Ste 301, Wexford, PA 15090 | 2015-07-21 |
| Find all providers in zip 15090 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453210 | Susan Anne Zikos | Dietitian, Registered | 229 Edelweiss Dr, Wexford, PA 15090-9454 | 2020-10-05 |
| 1528546926 | Laura Yautz | Dietitian, Registered | 10021 Sheffield Dr, Wexford, PA 15090-9659 | 2018-07-30 |
| 1134443500 | Ellen R Cyphers | Dietitian, Registered | 100 East Belmere Lane, Wexford, PA 15090 | 2010-03-15 |
| 1295859122 | Michelle Lee Longmore | Dietitian, Registered | 151 Bonnie View Dr, Wexford, PA 15090-8421 | 2007-03-17 |
| 1770088288 | Brittany Elizabeth Greene | Dietitian, Registered | 12311 Perry Hwy, Wexford, PA 15090-8344 | 2018-03-27 |
| 1609378769 | Erin Cotter | Dietitian, Registered | 12311 Perry Hwy, Wexford, PA 15090-8344 | 2018-03-05 |
| 1366969222 | Dana Faulkner | Dietitian, Registered | 9795 Perry Hwy Ste 100, Wexford, PA 15090-9700 | 2017-08-23 |
| 1164887030 | Better Nutrition Consulting | Dietitian, Registered | 11565 Perry Hwy, Suite 1b, Wexford, PA 15090-8799 | 2015-12-20 |
| 1124407176 | Jessica Marshall Regan | Dietitian, Registered | 117 Vip Dr Ste 310, Wexford, PA 15090-6936 | 2015-05-22 |
| 1275886137 | Megan M Watts | Dietitian, Registered | 12311 Perry Hwy, Wexford, PA 15090-8344 | 2012-10-17 |
| Find all providers in WEXFORD | ||||
Please comment or provide details below to improve the information on KRISTEN R RUDOLPH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.