Active NPI
Tia N Rudisill
- Nurse's Aide
- East Flat Rock, NC
National Provider Identifier
1013543446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Hearts Big Smiles | Current | Accepting new patients | |
| A Million Smiles a Day Transportation Inc | Current | 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.
-
- Non-emergency Medical Transport (VAN)
- East Flat Rock, NC
- NPI 1922756915
-
- Nursing Care Agency
- Hendersonville, NC
- NPI 1366207458
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
- Sarah Callahan
- Family Preservation Services of North Carolina, LLC Flat Rock Middle
- Footlogic, Inc.
- Michael Weston Huskey, BOCPO
- Level Four Orthotics and Prosthetics
- Kelsey June Smith, RN
- Michael James Tui II, MSCP, LPCA, LMFTA
- Vocational Solutions of Henderson County
- Wellness Behavioral Health and Healing, PLLC
- Western Carolina O & P
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.