LISA DAWN RUDOLPH (NPI# 1871804658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871804658 |
| Entity Type | Individual |
| Full Name | LISA DAWN RUDOLPH |
| Credential | LPN |
| Practice Address |
2937 Alaskan Ave Billings MT 59101-6851 |
| Practice Telephone | 4062567126 |
| Mailing Telephone | 4062567126 |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2010-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 32041 | MT | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | MONTANA BOARD OF NURSING | 32041 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487105714 | Lisa Rudolph | Nurse Practitioner | 444 Norwood Ave, Apt 2, Buffalo, NY 14222-1560 | 2016-10-21 |
| 1285838581 | Lisa Rudolph | Clinical Nurse Specialist | 1000 North Lee, Oklahoma City, OK 73101-1036 | 2007-06-12 |
| 1225389760 | Lisa Lynn Rudolph | Occupational Therapy Assistant | 230 W Galbraith Rd, Cincinnati, OH 45215-5223 | 2012-09-24 |
| 1093031742 | Lisa Marie Rudolph | Dentist | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2010-04-19 |
| Street Address |
2937 ALASKAN AVE |
| City | BILLINGS |
| State | MT |
| Zip Code | 59101-6851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950927 | Rayola Carol Grant | Student in an Organized Health Care Education/Training Program | Montana State University College of Nursing, Billing Ce, Ap 306 1500 University Drive, Billings, MT 59101 | 2020-07-29 |
| 1225652001 | Johnny L Talawyma Jr. | Peer Specialist | 1230 N. 30th St. Suite 100, Billings, MT 59101 | 2020-06-08 |
| 1306487962 | Jeannine L. Walter | Technician | 26 Peters St, Billings, MT 59101 | 2019-10-04 |
| 1912470089 | Deidre Jenae Johnson | Student in an Organized Health Care Education/Training Program | 1500 University Drive, Rimrock 503, Billings, MT 59101 | 2019-01-10 |
| 1649743964 | Annika Stampfel | Behavior Technician | 780 Broadwater Avenue, Billings, MT 59101 | 2019-01-09 |
| 1215436092 | Yellowstone City-county Health Department | Clinic/Center | 515 N 27th St, Billings, MT 59101 | 2018-02-07 |
| 1902305790 | Yellowstone City-county Health Department | Clinic/Center | 3005 1st Ave S, Billings, MT 59101 | 2018-02-07 |
| 1720587512 | Yellowstone City-county Health Department | Clinic/Center | 120 Jackson Street, Billings, MT 59101 | 2018-02-07 |
| 1508385477 | Jkw & Jira Inc. | Pharmacy | 1245 N 29th St Ste 100, Billings, MT 59101 | 2017-09-12 |
| 1487198610 | Rebecca Webber | Counselor | 251 Rolling Meadow Dr, Billings, MT 59101 | 2016-12-07 |
| Find all providers in zip 59101 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| 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 |
|---|---|---|---|---|
| 1447684667 | Shauna Rane Goubeaux | Licensed Practical Nurse | 2040 Rosebud Dr, Suite 7 &8, Billings, MT 59102-6294 | 2013-08-23 |
| 1760515969 | Patricia Jean Speck | Licensed Practical Nurse | 1245 N 29th St, Billings, MT 59101-0122 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518528215 | Lisa L Allensworth | Licensed Practical Nurse | 326 Ash Street, Unit A, St. Marie, MT 59231-5923 | 2019-06-24 |
| 1023465705 | Kimberly Demarois | Licensed Practical Nurse | 517 Maple St, Anaconda, MT 59711-2837 | 2016-05-23 |
| 1023418456 | Cathy Marquard | Licensed Practical Nurse | 1001 7th Ave N, Great Falls, MT 59401-1109 | 2014-09-04 |
| 1932509346 | Fay Palmer | Licensed Practical Nurse | 23 S Broadway St, Lima, MT 59739 | 2014-09-04 |
| 1467852509 | Natalie Rebecca Redman | Licensed Practical Nurse | 2986 Grassland Dr, Missoula, MT 59808-5916 | 2014-08-26 |
| 1538400817 | Charlotte Ann Brurud | Licensed Practical Nurse | 5790 Us Highway 89, Belt, MT 59412-8422 | 2013-03-11 |
| 1376896530 | Jaylene Rae Pinkerton | Licensed Practical Nurse | 517 N Terry Ave, Hardin, MT 59034-1630 | 2012-10-24 |
| 1740539683 | Natalia Limage | Licensed Practical Nurse | 18 East 41st Street, 14th Floor, New York, MT 10017-6244 | 2012-09-06 |
| 1144580119 | Robin Marie Charlton-fry | Licensed Practical Nurse | 62401 Foothill Rd, Saint Ignatius, MT 59865-9113 | 2012-05-23 |
| 1487927604 | Nancy Louise Nugent | Licensed Practical Nurse | 2525 Tea Rd, Helena, MT 59602-9143 | 2012-02-18 |
| 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.