Lauren Rudie, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4905 Pine Cone Dr
Durham, NC 27707-5474

Phone

(919) 659-8685

NPI assigned

Oct 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1033716782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19100 GLENWEST DR APT 726",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775467873",
            "telephone_number": "832-451-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 PINE CONE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075474",
            "telephone_number": "919-659-8685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 Business Center Dr",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775842153",
            "country_code": "US",
            "telephone_number": "346-907-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDIE",
        "first_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "1175915",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Robert Rudd, PHARMD
• Howard Mark Ruderfer, D.C.
• Anna Ruderman, MD
• Brandon Taylor Ruderman
• Lindsey Ruderman, BA
• Mona Rezai Rudnick, MD
• Catherine Suzanne Rudolph, RD
• Ellen Ruebush
• Ruffin & Ruffin, LLC
• Ruffin Home

• Physician Assistant in Durham, NC
• Providers in Durham, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.