LACEY M. RUDICK (NPI# 1316566656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316566656 |
| Entity Type | Individual |
| Full Name | LACEY M. RUDICK |
| Other Name | LACEY MICHELLE BAKER |
| Practice Address |
3333 Burnet Avenue Mlc 3014 Cincinnati OH 45229-3026 |
| Practice Telephone | 5136364788 |
| Practice Fax Number | 5136364283 |
| Mailing Telephone | 5136364788 |
| Mailing Fax Number | 5136364283 |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN.CNP.0026973 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5642 Hamilton Ave, Cincinnati, OH 452243114 | 5136360800 |
| Street Address |
3333 BURNET AVENUE MLC 3014 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45229-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346241403 | Linn M Mangano | Ophthalmology | 3333 Burnet Avenue, Ml 4008, Cincinnati, OH 45229-3026 | 2005-08-10 |
| 1326669904 | Krishawnda Janelle Allen | Nurse Practitioner | 3333 Burnet Avenue, Mlc 6015, Cincinnati, OH 45229-3026 | 2020-05-05 |
| 1407485220 | Timothy Thanh Nguyen | Student in an Organized Health Care Education/Training Program | 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229-3039 | 2020-04-03 |
| 1457980245 | Katherine Lura Harsh | Student in an Organized Health Care Education/Training Program | 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229-3039 | 2020-04-03 |
| 1407484660 | Kiran Neha Bandi | Student in an Organized Health Care Education/Training Program | 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229-3039 | 2020-03-31 |
| 1275161424 | Manroop Kaur Gill | Student in an Organized Health Care Education/Training Program | 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229-3039 | 2020-03-31 |
| 1538797113 | Andrew John Thomas | Student in an Organized Health Care Education/Training Program | 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229-3039 | 2020-03-30 |
| 1356979850 | Matthew Alexander Hapstack | Student in an Organized Health Care Education/Training Program | 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229-3039 | 2020-03-30 |
| 1073141776 | Madeline Leigh Weber | Student in an Organized Health Care Education/Training Program | 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229 | 2020-03-29 |
| 1851929764 | Daniel Nathan Beauchamp | Student in an Organized Health Care Education/Training Program | 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229-3039 | 2020-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992325567 | The Kroger Co | Pharmacy | 3255 Eden Ave, Suite 336, Cincinnati, OH 45229 | 2020-04-23 |
| 1942834916 | Abigail Elizabeth Ugas | Genetic Counselor, MS | 3333 Burnet Ave., Ml 4006, Cincinnati, OH 45229 | 2020-02-27 |
| 1477112308 | City of Cincinnati | Pharmacy | 3559 Reading Road, Suite 101, Cincinnati, OH 45229 | 2019-06-13 |
| 1720548134 | Luis Andres Compres Brugal | Student in an Organized Health Care Education/Training Program | Uc Health Neurology 3113 Bellevue Avenue, Cincinnati, OH 45229 | 2019-03-21 |
| 1457816118 | Linda Sue Hughes | Counselor | 4531 Reading Road, Cincinnati, OH 45229 | 2019-02-07 |
| 1437654902 | Dimpal Patel | Physician Assistant | 3333 Burnet Ave # Mlc2004, Cincinnati, OH 45229 | 2018-03-27 |
| 1235657909 | Shauntel Stewart | Nurse's Aide | 4439 Reading Rd Ste 101, Cincinnati, OH 45229 | 2017-09-01 |
| 1336662055 | Diane Davis | Home Health Aide | 768 East Mitchell Ave, Cincinnati, OH 45229 | 2017-07-25 |
| 1265971683 | Lauren Michelle Schmitt | Psychologist | 3333 Burnet Ave., Ml 4002, Cincinnati, OH 45229 | 2017-02-17 |
| 1801257308 | Monica Renee Whitehead | Psychologist | Cincinnati Children's Hospital, 3333 Burnet Avenue, Ml 3015, Cincinnati, OH 45229 | 2016-03-10 |
| Find all providers in zip 45229 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083236624 | Payal Patel | Nurse Practitioner | 737 Regent Rd, Cincinnati, OH 45245-1653 | 2020-05-16 |
| 1437771458 | Kayla Semon | Nurse Practitioner | 1522 Madison Rd Apt 3, Cincinnati, OH 45206-1700 | 2020-05-13 |
| 1104448653 | Brian Patrick Berendts | Nurse Practitioner | 3333 Burnet Ave Ml3014, Psychiatry, Cincinnati, OH 45229-3026 | 2020-05-07 |
| 1487280483 | Bridgette Hull | Nurse Practitioner | 9505 Montgomery Rd Ste 201, Cincinnati, OH 45242-7248 | 2020-03-21 |
| 1194363887 | Shannon Brown | Nurse Practitioner | 3333 Burnet Ave # Mlc1013, Cincinnati, OH 45229-3026 | 2019-12-13 |
| 1083256291 | Amanda Lynn Fantino | Nurse Practitioner | 8250 Kenwood Crossing Way Ste 225, Cincinnati, OH 45236-3670 | 2019-10-09 |
| 1528618444 | Subi Healthcare Services LLC | Nurse Practitioner | 4124 Durhams Xing, Cincinnati, OH 45245-1759 | 2019-09-12 |
| 1265084818 | Hannah Dierksheide | Nurse Practitioner | 959b Paradrome St, Cincinnati, OH 45202-1527 | 2019-07-14 |
| 1124681895 | Amanda Elsen | Nurse Practitioner | 2139 Auburn Ave Ste C920b, Cincinnati, OH 45219-2989 | 2019-04-18 |
| 1982166229 | Anne Garvin | Nurse Practitioner | 3110 Vine St, Cincinnati, OH 45219-2068 | 2019-04-04 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45229 |
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| 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.