MARY M RUDOLPH (NPI# 1588628218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588628218 |
| Entity Type | Individual |
| Full Name | MARY M RUDOLPH |
| Credential | NP |
| Practice Address |
321 Middlefield Rd Menlo Park CA 94025-3500 |
| Mailing Address |
Po Box 60000 File #72484 San Francisco CA 94160-0001 |
| Practice Telephone | 6504986623 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2011-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
NP572 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NHIC | MMM00087M | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174910855 | Mary Rudolph | Counselor | 4190 E Lake Rd, Erie, PA 16511 | 2015-04-21 |
| Street Address |
321 MIDDLEFIELD RD |
| City | MENLO PARK |
| State | CA |
| Zip Code | 94025-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174583355 | Paul Taehyun Yun | Otolaryngology | 321 Middlefield Rd, Menlo Park, CA 94025-3500 | 2006-03-23 |
| 1245709492 | Amanda Rose Bergersen | Occupational Therapist | 321 Middlefield Rd, Menlo Park, CA 94025-3500 | 2018-11-16 |
| 1053886317 | Kylie Megan Buck | Physical Therapist | 321 Middlefield Rd, Menlo Park, CA 94025-3500 | 2018-10-12 |
| 1518444199 | Stephen Hare | Physical Therapy Assistant | 321 Middlefield Rd, Menlo Park, CA 94025-3500 | 2018-07-26 |
| 1851744890 | Sana Ahmed | Social Worker | 321 Middlefield Rd, Menlo Park, CA 94025-3500 | 2016-07-14 |
| 1609253012 | Amy Auf Der Springe | Physical Therapist | 321 Middlefield Rd, Menlo Park, CA 94025-3500 | 2015-05-05 |
| 1831461235 | Leslie Torburn | Physical Therapist | 321 Middlefield Rd, Suite 130, Menlo Park, CA 94025-3500 | 2012-01-31 |
| 1316218605 | Lucile Packard Children's Hospital | General Acute Care Hospital | 321 Middlefield Rd, Suite 130, Menlo Park, CA 94025-3500 | 2012-01-19 |
| 1750665444 | Nancy Hsieh | Physician Assistant | 321 Middlefield Rd, Suite 245, Menlo Park, CA 94025-3500 | 2011-09-29 |
| 1841583010 | Samantha E. Huestis | Psychologist | 321 Middlefield Rd, Suite 225, Menlo Park, CA 94025-3500 | 2011-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350112 | Grail, Inc. | Clinical Medical Laboratory | 1525 O'brien Drive, Menlo Park, CA 94025 | 2020-09-09 |
| 1528673399 | Hanan Wasse | Occupational Therapist | 860 Fremont # Apt 2, Menlo Park, CA 94025 | 2020-09-09 |
| 1356967608 | Raymond Joseph Brinkmann | Counselor | 795 Willow Road Bldg 332, Menlo Park, CA 94025 | 2020-06-23 |
| 1245859883 | Connie Margarita Alonzo-frisz | Marriage & Family Therapist | Garfield Community School, 3600 Middlefield Rd, Menlo Park, CA 94025 | 2020-04-14 |
| 1225661911 | Crossover Health Medical Group | Specialist | 193 Jefferson Dr., Menlo Park, CA 94025 | 2020-02-20 |
| 1942774732 | Irazema Garcia | Health Educator | 3000 Sand Hill Road, Building 3, Suite 240, Menlo Park, CA 94025 | 2019-01-15 |
| 1538639174 | Care Indeed, Inc. | Home Health | 890 Santa Cruz Ave., Menlo Park, CA 94025 | 2018-11-27 |
| 1639644370 | Wendy Figone | Massage Therapist | 575 Gilbert Ave., Menlo Park, CA 94025 | 2018-10-09 |
| 1437667540 | Christina E Kang | Nutritionist | 3639 Haven Ave Unit A424, Menlo Park, CA 94025 | 2018-01-11 |
| 1225492820 | Speachy Learning Center | Speech-Language Pathologist | 1164 Chestnut Street, Menlo Park, CA 94025 | 2016-04-09 |
| Find all providers in zip 94025 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417910852 | Rebecca Goldfader | Nurse Practitioner | 1300 Crane Street, Menlo Park, CA 94025-4429 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548819964 | Myra Sepulveda | Nurse Practitioner | 1700 Lombard St Ste 110, Oxnard, CA 93030-8288 | 2019-09-09 |
| 1639641699 | Zahra Jeylani Nur | Nurse Practitioner | 15101 Spectrum, Irvine, CA 92618-3426 | 2018-12-31 |
| 1518486125 | Patty Montoya | Nurse Practitioner | 1026 Felder St, Gardena, CA 90248-3348 | 2017-09-14 |
| 1902357817 | Alexandria Ludlow | Nurse Practitioner | 350 John Muir Pkwy Ste 205, Brentwood, CA 94513-5193 | 2016-10-17 |
| 1477922102 | Vanessa Domush | Nurse Practitioner | 845 E. Willow St, Signal Hill, CA 90755 | 2015-09-23 |
| 1174999015 | Kristina Hagopian | Nurse Practitioner | 8920 Wilshire Blvd Ste 525, Beverly Hills, CA 90211-1968 | 2015-08-14 |
| 1639553076 | Pacific Women's Healthcare Associates | Nurse Practitioner | 500 Superior Ave Ste 310, Newport Beach, CA 92663-3609 | 2015-07-15 |
| 1548655921 | Trudi J Petersen | Nurse Practitioner | 1700 Shattuck Ave # 75, Berkeley, CA 94709-3402 | 2015-04-01 |
| 1932590775 | Samah Shahzya Kureshi | Nurse Practitioner | 2619 Vanderbilt Ln Unit B, Redondo Beach, CA 90278-3318 | 2015-02-16 |
| 1346645801 | Norma Nix | Nurse Practitioner | 22423 Chase St, West Hills, CA 91304-3321 | 2014-10-27 |
| Find all providers with the same taxonomy | ||||
| City | MENLO PARK |
| Zip Code | 94025 |
Please comment or provide details below to improve the information on MARY M 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.