ELIZABETH T RUDOLPH (NPI# 1912038605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912038605 |
| Entity Type | Individual |
| Full Name | ELIZABETH T RUDOLPH |
| Credential | ARNP |
| Practice Address |
4319 Stone Way N Seattle WA 98103-7420 |
| Practice Telephone | 2064613614 |
| Practice Fax Number | 2066340094 |
| Mailing Telephone | 2064613614 |
| Mailing Fax Number | 2066340094 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP30003629 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9618737 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324707 | Elizabeth Rudolph | Massage Therapist | 5568 S Fort Apache Rd, Las Vegas, NV 89148-3602 | 2020-10-23 |
| 1871993212 | Elizabeth Rudolph | Case Manager/Care Coordinator | 110 N Mill St, Festus, MO 63028-1816 | 2014-09-03 |
| 1710262233 | Elizabeth Ann Rudolph | Psychologist | 1200 N West Ave, Jackson, MI 49202-2179 | 2011-10-16 |
| Street Address |
4319 STONE WAY N |
| City | SEATTLE |
| State | WA |
| Zip Code | 98103-7420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743949 | Amy Lindsey | Naturopath | 3670 Stone Way North, Seattle, WA 98103 | 2020-09-01 |
| 1073153748 | Eric Vincent Currier | Specialist | 7218 Linden Ave. N., Seattle, WA 98103 | 2020-01-10 |
| 1235770512 | Donna Dianne Campbell | Technician | 748 N 95th St #202, Seattle, WA 98103 | 2019-10-08 |
| 1841844529 | Devin Bard | Counselor | 819 N 49th St, Suite 229, Seattle, WA 98103 | 2019-07-30 |
| 1811453343 | Matkel Corporation | Massage Therapist | 4459 Fremont Ave N Ste 2, Seattle, WA 98103 | 2019-02-20 |
| 1063980381 | Dennis Gordon Grove | Counselor | 701 N 36th St, Ste 300, Seattle, WA 98103 | 2018-11-05 |
| 1962994681 | Taja Estrada | Psychologist | 7222 Linden Avenue N, Suite A, Seattle, WA 98103 | 2018-05-30 |
| 1073015129 | Kelly A Robison | Massage Therapist | 4459 Fremont Ave North, Suite 2, Seattle, WA 98103 | 2018-03-05 |
| 1609387927 | Andrew Rogers | Counselor | 1307 North 45th Street, Suite 200, Seattle, WA 98103 | 2017-10-13 |
| 1720513096 | Fedora Katz | Dentist | 2108 N Pacific Street Ap 203, Seattle, WA 98103 | 2017-04-25 |
| Find all providers in zip 98103 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747213 | Peaceful Coexistence, LLC | Nurse Practitioner | 4730 University Way Ne Ste 104, Seattle, WA 98105-4424 | 2020-07-16 |
| 1326668856 | Healing Heart Therapeutic Services | Nurse Practitioner | 1915 2nd Ave Apt 2212, Seattle, WA 98101-3165 | 2020-04-24 |
| 1588297444 | Rosalie Francesca Gammelgaard | Nurse Practitioner | 4106 Midvale Ave N, Seattle, WA 98103-7916 | 2020-02-19 |
| 1992343669 | Laurel Kristine Tronsen | Nurse Practitioner | 1959 Ne Pacific St # 104, Seattle, WA 98195-0001 | 2019-12-12 |
| 1043855471 | Mountain Peak Mental Health, Pllc | Nurse Practitioner | 155 Ne 100th St Ste 220, Seattle, WA 98125-8015 | 2019-11-08 |
| 1356907885 | Virtual Allied Remote Diagnostic and Clinical Services | Nurse Practitioner | 800 Fairview Ave N, Seattle, WA 98109-4412 | 2019-05-09 |
| 1003382763 | Shannon Troy Presler | Nurse Practitioner | 5941 California Ave Sw Apt 105, Seattle, WA 98136-1665 | 2018-10-21 |
| 1629550215 | Lance Edward Briggs | Nurse Practitioner | 5306 Ballard Ave Nw Ste 208, Seattle, WA 98107-4366 | 2018-08-30 |
| 1912400797 | Mackenzie Kampa | Nurse Practitioner | 505 Nw 60th St, Seattle, WA 98107-2143 | 2018-03-17 |
| 1265941975 | Rachel Jacks | Nurse Practitioner | 2428 Nw Market St Apt 410, Seattle, WA 98107-4171 | 2017-09-26 |
| Find all providers in SEATTLE | ||||
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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.