Individual provider Active NPI

Ann K Smith-Rudnick, MD

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1225023187
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30352 Issued in CO
Practice address
2820 S Harlan Way
Denver, CO 80227-3820
Phone
(303) 482-7393
NPI assigned
Sep 16, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 30352 CO Primary
Family Medicine Physician 207Q00000X 170459-1 NY

Addresses

Primary practice location

2820 S Harlan Way
Denver, CO 80227-3820

Mailing address

2820 S Harlan Way
Denver, CO 80227-3820
Phone (303) 482-7393

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
170459-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Family Medicine, P.C. Family Medicine PastSince Apr 1, 2001 Accepting new patients
Front Range Primary Care Partners 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": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1225023187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 S HARLAN WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802273820",
            "telephone_number": "303-482-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 S HARLAN WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802273820",
            "telephone_number": "303-482-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-RUDNICK",
        "first_name": "ANN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "30352",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "170459-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.