Individual provider Active NPI

Emily Rudich, ARNP-C

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1205186806
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9265245 Issued in FL
Practice address
3001 N Rocky Point Dr E
Ste. 125
Tampa, FL 33607-5810
Phone
(813) 282-0223
NPI assigned
Sep 12, 2012
Last updated
Sep 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9265245 FL Primary

Addresses

Primary practice location

3001 N Rocky Point Dr E
Ste. 125
Tampa, FL 33607-5810

Mailing address

14609 Coral Berry Dr
Tampa, FL 33626-2339

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
9265245FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey a. Hunt, DO, PA PastSince Aug 2, 2010 Accepting new patients
Tranquilite, LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1205186806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14609 CORAL BERRY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336262339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 N ROCKY POINT DR E",
            "address_2": "STE. 125",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075810",
            "telephone_number": "813-282-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDICH",
        "first_name": "EMILY",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9265245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.