Active NPI
Dianna Rudy, P.A.
- Physician Assistant
- Carlisle, PA
National Provider Identifier
1144269705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA002847L
- Practice address
- 804 Belvedere St
Carlisle, PA 17013-4001 - Phone
- (717) 243-1653
- Fax
- (717) 243-6708
- NPI assigned
- Jun 6, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA002847L | PA | Primary |
Addresses
Primary practice location
804 Belvedere St
Carlisle, PA 17013-4001
Mailing address
804 Belvedere St
Carlisle, PA 17013-4001
Phone (717) 243-1653
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50047031 | Other | PA | CAPITOL BLUE CROSS PROV N |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA002847L | PA | MD | Physician Assistant |
Interoperability endpoints
- drudypa@carlislepeds.opdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439337600000",
"number": "1144269705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 BELVEDERE ST",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170134001",
"telephone_number": "717-243-1653",
"fax_number": "717-243-6708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 BELVEDERE ST",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170134001",
"telephone_number": "717-243-1653",
"fax_number": "717-243-6708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDY",
"first_name": "DIANNA",
"name_prefix": "Miss",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2015-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA002847L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITOL BLUE CROSS PROV N",
"identifier": "50047031",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carlisle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.