Active NPI
Marianne T Rudolph, LD RD
- Registered Dietitian
- Parma, OH
National Provider Identifier
1083725840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 608
- Practice address
- 7007 Powers Blvd
Parma Community Hosp
Parma, OH 44129-4595 - Phone
- (440) 743-2150
- Fax
- (440) 743-2280
- NPI assigned
- Aug 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 608 | OH | Primary |
Addresses
Primary practice location
7007 Powers Blvd
Parma Community Hosp
Parma, OH 44129-4595
Mailing address
6344 Brecksville Rd
Independence, OH 44131-3405
Phone (216) 524-5319
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 608 | OH | MD | Neurology Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083725840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6344 BRECKSVILLE RD",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441313405",
"telephone_number": "216-524-5319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7007 POWERS BLVD",
"address_2": "PARMA COMMUNITY HOSP",
"city": "PARMA",
"state": "OH",
"postal_code": "441294595",
"telephone_number": "440-743-2150",
"fax_number": "440-743-2280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDOLPH",
"first_name": "MARIANNE",
"middle_name": "T",
"name_prefix": "Ms.",
"credential": "LD RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parma, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.