Active NPI
Sydney Rudowski, MSGC
- Genetic Counselor (M.S.)
- Royal Oak, MI
National Provider Identifier
1215650866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- License
- 7201000434
- Practice address
- 3577 W 13 Mile Rd Ste 140
Royal Oak, MI 48073-6710 - Phone
- (248) 551-3388
- NPI assigned
- Sep 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | 7201000434 | MI | Primary |
Addresses
Primary practice location
3577 W 13 Mile Rd Ste 140
Royal Oak, MI 48073-6710
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Other practice location 1
1000 Oakland Dr
Kalamazoo, MI 49008-1282
Phone (269) 337-4342
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | srudowski6310659@direct.beaumont.edu |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7201000434 | MI | MD | Genetic Counselor (M.S.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1215650866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD STE 3D",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3577 W 13 MILE RD STE 140",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736710",
"telephone_number": "248-551-3388"
}
],
"practiceLocations": [
{
"address_1": "1000 Oakland Dr",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490081282",
"country_code": "US",
"telephone_number": "269-337-4342",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUDOWSKI",
"first_name": "SYDNEY",
"credential": "MSGC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-20",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "MI",
"license": "7201000434",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "srudowski6310659@direct.beaumont.edu",
"affiliation": "N",
"address_1": "3577 W 13 Mile Rd Ste 140",
"city": "Royal Oak",
"state": "MI",
"country_code": "US",
"postal_code": "480736710",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.