Lauren Rudolph, MD

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

DR.0062433 Issued in CO

Practice address

2555 E 13TH St Ste 105
Loveland, CO 80537-5134

Phone

(319) 384-7765

NPI assigned

May 13, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1134530033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4832 MARIANA HILLS CIR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805377930",
            "telephone_number": "720-937-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 E 13TH ST STE 105",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375134",
            "telephone_number": "319-384-7765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2006 Cutwater Ct",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201913604",
            "country_code": "US",
            "telephone_number": "720-937-7954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "LAUREN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "IA",
            "license": "R-11267",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CO",
            "license": "DR.0062433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Roth, PT
• Chelsea Rothschild, CLC
• Susan Roussos
• Crystal Royal
• Jennifer Marie Rubatt, M.D.
• Patsy G Ruggles, RDH
• Diana Ruiloba
• Ingrid K Rule, MD
• Megan Elizabeth Rummel, MFTC
• Brad C Runyan, M.D.

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Loveland, CO
• Providers in Loveland, CO by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.