Individual provider Active NPI

Rudi Maske, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Hartford, SD
National Provider Identifier
1063189595
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
967-SLP Issued in SD
Practice address
511 Patrick Ave
Hartford, SD 57033-2064
Phone
(605) 261-6663
NPI assigned
Aug 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 967-SLP SD Primary

Addresses

Primary practice location

511 Patrick Ave
Hartford, SD 57033-2064

Mailing address

511 Patrick Ave
Hartford, SD 57033-2064
Phone (605) 261-6663

Other practice location 1

2400 S Bahnson Ave
Sioux Falls, SD 57103-4462
Phone (605) 371-4120

Other practice location 2

2400 S Bahnson Ave
Sioux Falls, SD 57103-4462
Phone (605) 371-4120

Other names 1

  • Rudi Vennard Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
967-SLPSDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1063189595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 PATRICK AVE",
            "city": "HARTFORD",
            "state": "SD",
            "postal_code": "570332064",
            "telephone_number": "605-261-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 PATRICK AVE",
            "city": "HARTFORD",
            "state": "SD",
            "postal_code": "570332064",
            "telephone_number": "605-261-6663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 S Bahnson Ave",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571034462",
            "country_code": "US",
            "telephone_number": "605-371-4120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 S Bahnson Ave",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571034462",
            "country_code": "US",
            "telephone_number": "605-371-4120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASKE",
        "first_name": "RUDI",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SD",
            "license": "967-SLP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUDI",
            "last_name": "VENNARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hartford, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.