Katie P Rudofsky, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN.0991587-NP Issued in CO

Practice address

7305 E 29TH Ave Ste 101
Denver, CO 80238-2701

Phone

(303) 524-9093

Fax

(303) 524-9371

NPI assigned

Jan 13, 2015

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

Opted out of Medicare

Yes, effective Jul 1, 2025 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: katie.rudofsky@217526021193732.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Identity Hormones Co LLC

  • Adult Medicine Physician
  • Denver, CO
  • NPI 1174309231
  NPD (past)

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1154710200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 E 29TH AVE STE 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382701",
            "telephone_number": "303-524-9093",
            "fax_number": "303-524-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 E 29TH AVE STE 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382701",
            "telephone_number": "303-524-9093",
            "fax_number": "303-524-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOFSKY",
        "first_name": "KATIE",
        "middle_name": "P",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-13",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0991587-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Rae Rudawsky, DDS
• Joshua Daniel Rudder, LPCC
• Noah Rudder, ATC
• Clare Rachel Rudman, DO
• Rira Yoo Rudnick, FNP
• Judith Alison Rudolph Nesbitt, MFTC
• Merritt C Rudolph, MD PC
• Nicole Rudolph
• Bailey Marie Rueckert
• Cynthia Ruehle

• Family Nurse Practitioner in Denver, CO
• Providers in Denver, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.