Joshua Lee Rudolph, MHA

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1051 N 16TH St Ste B
Murray, KY 42071-8511

Phone

(270) 753-6622

Fax

(270) 753-9669

NPI assigned

Jul 31, 2019

Sex

Male

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Western Ky Regional MHMR Board Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Paducah, KY
  • NPI 1841216934
  NPD

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1194379768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 BROADWAY ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420010713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 N 16TH ST STE B",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420718511",
            "telephone_number": "270-753-6622",
            "fax_number": "270-753-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "JOSHUA",
        "middle_name": "LEE",
        "credential": "MHA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lory Rone
• Susan Renea Rosenberger, PH.D.
• Jen Rochelle Ross
• Madison Ross, DO
• Eric Rudd, LPCC
• Michael Russell, RPH
• Martha Lyn Ryan, ARNP
• S S Brown Enterprises LLC
• S S Brown Enterprises LLC
• John Muir Sallee, M.D.

• Social Worker in Murray, KY
• Providers in Murray, KY by specialty
• Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.