Ruddell Medical Services

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

RUDDELL MEDICAL SERVICES

Practice address

7676 New Hampshire Ave Ste 424
Takoma Park, MD 20912-7516

Phone

(301) 296-0720

NPI assigned

Nov 12, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Vashtina Ellison-Ruddock, DNP,CRNP, FNP-BCNPI 1699042523

Title

Nurse Practitioner / President

Phone

(202) 549-0925

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vashtina G Ellison-Ruddock, FNP

  • Family Nurse Practitioner
  • Washington, DC
  • NPI 1699042523
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1184448623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 OTIS PL NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103436",
            "telephone_number": "301-296-0720",
            "fax_number": "301-296-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7676 NEW HAMPSHIRE AVE STE 424",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209127516",
            "telephone_number": "301-296-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDDELL MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "ELLISON-RUDDOCK",
        "authorized_official_first_name": "VASHTINA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER / PRESIDENT",
        "authorized_official_telephone_number": "202-549-0925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP,CRNP, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Diane Romaniello, M.S.
• Elana Rombro, LGSW
• Judith Fran Rosenthal
• Mairi Breen Rothman, CNM MSN
• Bruce E Rubin, MD
• Karen Russell
• Rhoda Ruttenberg, M.D.
• Carina A. Ryder, CNM
• Peter Sabaya, DDS
• Jacques Sadie

• Primary Care Clinic/Center in Takoma Park, MD
• Providers in Takoma Park, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.