Marilynn Elizabeth Rudolph, RRT, AE-C

Primary specialty

Pulmonary Function Technologist Registered Respiratory TherapistTaxonomy code 2279P1006X

License

1275 Issued in MN

Practice address

14500 99TH Ave N
Maple Grove, MN 55369-4730

Phone

(763) 898-1117

Fax

(763) 898-1061

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1124175435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10569 QUINCY BLVD NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554342721",
            "telephone_number": "763-717-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 99TH AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694730",
            "telephone_number": "763-898-1117",
            "fax_number": "763-898-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "MARILYNN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "RRT, AE-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279P1006X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Function Technologist",
            "state": "MN",
            "license": "1275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Bernard Rosen, M.D.
• Mary K. Rosenberg, APRN CNP
• Kristine Carol Rosenthal, DDS
• Robert Christopher Rothaar, MD
• Noah Andrew Rounds, DDS
• Mary Ruggeri, PA-C
• Jacqueline Marie Ruhland, MSW, LICSW
• Tanner Mark Ruprecht
• Christina Patricia Russell, MD
• Claire Rutscher, PHYSICAL THERAPIST

• Registered Respiratory Therapist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Registered Respiratory Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.