Active NPI
Shauna E Rudd
- Clinical Social Worker
- Lexington, KY
National Provider Identifier
1215695960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 256281
- Practice address
- 176 Market St Apt 202
Lexington, KY 40507-1146 - Phone
- (606) 272-0243
- NPI assigned
- Nov 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 256281 | KY | Primary |
Addresses
Primary practice location
176 Market St Apt 202
Lexington, KY 40507-1146
Mailing address
176 Market St Apt 202
Lexington, KY 40507-1146
Phone (606) 272-0243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alteri, LLC | Clinical | Current | Accepting new patients |
| Alteri, LLC | Clinical | Current | Accepting new patients |
| Better Mental Health Ky, LLC | Clinical | Current | Accepting new patients |
Locations
642 E Lexington Ave
Danville, KY 40422
Phone (859) 209-2269
1 Physicians Park
Ste B
Frankfort, KY 40601
Phone (502) 699-2714
938 Louisville Rd
Ste 300
Frankfort, KY 40601
190 W Lowry Ln
Ste 200
Lexington, KY 40503
Phone (859) 277-0099
Organizations & group practices 3
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": "1638230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638230400000",
"number": "1215695960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 MARKET ST APT 202",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405071146",
"telephone_number": "606-272-0243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 MARKET ST APT 202",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405071146",
"telephone_number": "606-272-0243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDD",
"first_name": "SHAUNA",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-30",
"last_updated": "2021-11-30",
"certification_date": "2021-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "256281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.