Individual provider Active NPI

Katherine Anne Rudigier, L.AC

  • Acupuncturist
  • Washougal, WA
National Provider Identifier
1194967547
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
60597502 Issued in WA
Practice address
2001 E St
Washougal, WA 98671-1658
Phone
(360) 991-8691
NPI assigned
Apr 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198000736 IL
Acupuncturist 171100000X 60597502 WA Primary

Addresses

Primary practice location

2001 E St
Washougal, WA 98671-1658

Mailing address

225 NE Sumner St Apt 108
Camas, WA 98607-1743
Phone (360) 991-8691

Other practice location 1

3723 N Southport Ave
Chicago, IL 60613-3718
Phone (773) 617-2951

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

State licenses

LicenseStateTypeSpecialty
198000736ILMDAcupuncturist
60597502WAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Everyday Zen Acupuncture Acupuncturist Current Accepting new patients
Cloud Gate Acupuncture Past Accepting new patients

Locations

615 SE Chkalov Dr
Ste 7
Vancouver, WA 98683
Phone (360) 885-1767

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1194967547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 NE SUMNER ST APT 108",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986071743",
            "telephone_number": "360-991-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 E ST",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986711658",
            "telephone_number": "360-991-8691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3723 N Southport Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606133718",
            "country_code": "US",
            "telephone_number": "773-617-2951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDIGIER",
        "first_name": "KATHERINE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198000736",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "60597502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washougal, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.