Active NPI
Timothy Andrew Rudmann
- Case Manager/Care Coordinator
- Ashland, KY
National Provider Identifier
1245005735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 835 Central Ave
Ashland, KY 41101-7423 - Phone
- (606) 547-4400
- Fax
- (606) 547-4180
- NPI assigned
- Nov 15, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
835 Central Ave
Ashland, KY 41101-7423
Mailing address
2901 Pigeon Roost Rd
Rush, KY 41168-8132
Phone (606) 928-6648
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1245005735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 PIGEON ROOST RD",
"city": "RUSH",
"state": "KY",
"postal_code": "411688132",
"telephone_number": "606-928-6648",
"fax_number": "606-928-1056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 CENTRAL AVE",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017423",
"telephone_number": "606-547-4400",
"fax_number": "606-547-4180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDMANN",
"first_name": "TIMOTHY",
"middle_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-15",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.