Individual provider Active NPI

Tia N Rudisill

  • Nurse's Aide
  • East Flat Rock, NC
National Provider Identifier
1013543446
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Practice address
82 Johnnie Washington Dr
East Flat Rock, NC 28726-0280
Phone
(828) 388-6392
NPI assigned
Mar 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X
Homemaker 376J00000X
Nurse's Aide 376K00000X Primary

Addresses

Primary practice location

82 Johnnie Washington Dr
East Flat Rock, NC 28726-0280

Mailing address

82 Johnnie Washington Dr
East Flat Rock, NC 28726-0280
Phone (828) 388-6392

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL tiarudisill80@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Big Hearts Big Smiles CurrentSince Feb 18, 2024 Accepting new patients
A Million Smiles a Day Transportation Inc CurrentSince Mar 20, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1013543446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 JOHNNIE WASHINGTON DR",
            "city": "EAST FLAT ROCK",
            "state": "NC",
            "postal_code": "287260280",
            "telephone_number": "828-388-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 JOHNNIE WASHINGTON DR",
            "city": "EAST FLAT ROCK",
            "state": "NC",
            "postal_code": "287260280",
            "telephone_number": "828-388-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDISILL",
        "first_name": "TIA",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tiarudisill80@gmail.com",
            "affiliation": "N",
            "address_1": "82 Johnnie Washington Dr",
            "city": "East Flat Rock",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287260280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Flat Rock, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.