BRANDY RUDD (NPI# 1467963769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467963769 |
| Entity Type | Individual |
| Full Name | BRANDY RUDD |
| Practice Address |
339 N Rush St Prescott AZ 86301-2652 |
| Practice Telephone | 9283500752 |
| Mailing Telephone | 9283500752 |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NONE | NONE | 01 |
| Street Address |
339 N RUSH ST |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-2652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346557 | Prince Terrence C Woods | Home Health Aide | 15620 N 25th Ave Apt K209, Phoenix, AZ 85023-6514 | 2020-11-04 |
| 1174121396 | Comonique Russell | Home Health Aide | 2151 E Southern Ave Apt 1082, Mesa, AZ 85204-5358 | 2020-10-09 |
| 1083211288 | Kindred Hearts Assisted Living LLC | Home Health Aide | 530 E Mariposa St Apt 26, Phoenix, AZ 85012-1636 | 2020-10-01 |
| 1518570506 | Ideal Care LLC | Home Health Aide | 4135 N 108th Ave Ste 102, Phoenix, AZ 85037-5462 | 2020-08-28 |
| 1518578566 | Lakeisha Elem | Home Health Aide | 855 N Dobson Rd Apt 1045, Chandler, AZ 85224-6904 | 2020-08-13 |
| 1821612375 | Annie Mayson | Home Health Aide | 8517 W Chickasaw St, Tolleson, AZ 85353-8939 | 2020-06-01 |
| 1427670207 | James Verdieu | Home Health Aide | 2785 W Goldmine Mountain Dr, San Tan Valley, AZ 85142-4752 | 2020-05-14 |
| 1104452903 | People That Care, LLC. | Home Health Aide | 7034 W Peck Dr, Glendale, AZ 85303-4431 | 2020-03-13 |
| 1932734803 | Shane Amour Fulton | Home Health Aide | 2314 W Thomas Rd Apt 261, Phoenix, AZ 85015-5911 | 2020-03-11 |
| 1598397739 | Nasir Adam Ibrahim | Home Health Aide | 4009 S 12th Ave, Tucson, AZ 85714-1452 | 2020-02-05 |
| Find all providers with the same taxonomy | ||||
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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.