AMY J RUDBECK (NPI# 1336259381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336259381 |
| Entity Type | Individual |
| Full Name | AMY J RUDBECK |
| Credential | R.D. |
| Practice Address |
1700 E 38th St Marion IN 46953-4568 |
| Mailing Address |
11821 E Stanley Rd Selma IN 47383-9375 |
| Practice Telephone | 7656743321 |
| Practice Fax Number | 7656773150 |
| Mailing Telephone | 7654688666 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
37000405A | IN | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | DIETITIAN CERTIFICATION | 37000405A | 01 |
| DIETITIAN REGISTRATION | 694975 | 01 |
| Street Address |
1700 E 38TH ST |
| City | MARION |
| State | IN |
| Zip Code | 46953-4568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690055 | Alexis Miguel Echevarria-vargas | Physical Medicine & Rehabilitation | 1700 E 38th St, Marion, IN 46953-4568 | 2005-06-22 |
| 1780299438 | Malinee Sue Swihart | Physical Therapist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-09-10 |
| 1336753235 | Lana L Skelton | Counselor | 1700 E 38th St, Building 124, Room 222, Marion, IN 46953 | 2020-09-08 |
| 1245844380 | Tiffany Clark | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-09-05 |
| 1679183982 | Adam M Smith | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-08-03 |
| 1770192684 | Matthew T Bajor | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-07-27 |
| 1619594934 | Gary L Hite Jr. | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-07-02 |
| 1801412804 | Amanda Diane Wisener | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-06-25 |
| 1710503719 | Ana Maria Vargas | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-06-25 |
| 1669018594 | Marybeth Pecina | Dietitian, Registered | 1700 E 38th St, Marion, IN 46953-4568 | 2019-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396280335 | Sherri Gaye Hall Hamilton | Nurse Practitioner | 1700 West 38th Street, Marion, IN 46953 | 2016-12-29 |
| 1487022810 | Hannah Renfrow | Nurse Practitioner | 1411 W Bella Drive, Marion, IN 46953 | 2015-09-02 |
| 1174907844 | Kathleen Marie Kunkle | Occupational Therapy Assistant | 729 35th St., Marion, IN 46953 | 2015-07-13 |
| 1386054302 | Sarah Michelle Schultz | Specialist/Technologist | 4201 S Washington Street, Indiana Wesleyan University Athletic Training, Marion, IN 46953 | 2014-04-29 |
| 1437595022 | Famila Dental Marion LLC | Dentist | 1903 S Western Ave, Marion, IN 46953 | 2013-05-22 |
| 1063654887 | Mill Township Volunteer Fire Department | Ambulance | 2113 E. Old Kokomo Road, Marion, IN 46953 | 2009-03-25 |
| 1023203601 | Assisted Living Concepts Inc | Assisted Living Facility | 725 West 50th Street, Marion, IN 46953 | 2007-09-07 |
| 1538381991 | Lifetime Dental Care of Indiana, PC | Dentist | 2017 South Western Ave, Marion, IN 46953 | 2007-05-03 |
| 1063634699 | Bethany Dawn Coppock | Occupational Therapy Assistant | 4725 Colonial Oaks Drive, Marion, IN 46953 | 2007-05-03 |
| 1568684439 | Donna B Berryhill | Physical Therapy Assistant | 4725 South Colonial Oaks Drive, Marion, IN 46953 | 2007-05-02 |
| Find all providers in zip 46953 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659632602 | Si Medical, Inc. | Dietitian, Registered | 1909 W Coolidge Ave, Marion, IL 62959-1097 | 2012-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376070615 | Dietitiancare, LLC | Dietitian, Registered | 1775 S Basswood Trl, La Porte, IN 46350-9289 | 2017-05-17 |
| 1972597417 | Cari Dawn Staggs-littrell | Dietitian, Registered | Dunn Memorial Hospital, 1600 23rd Street, Bedford, IN 47421 | 2005-09-09 |
| 1871587451 | Linnea Pennycuff | Dietitian, Registered | 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 | 2005-09-09 |
| 1962881433 | Molly Beth Robinson | Dietitian, Registered | 720 Eskenazi Ave, Indianapolis, IN 46202-5187 | 2015-05-29 |
| 1467831990 | Rupal Trivedi | Dietitian, Registered | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 | 2015-05-29 |
| 1376972273 | Rosemary P Benjamin | Dietitian, Registered | 1400 W State St, Building B, Suite C, West Lafayette, IN 47906-3438 | 2013-11-01 |
| 1467692517 | Leigh Ann Brooks | Dietitian, Registered | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 | 2009-03-03 |
| 1508895863 | Reid Hospital & Health Care Services, Inc. | Dietitian, Registered | 1100 Reid Pkwy, Richmond, IN 47374-1157 | 2006-06-30 |
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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.