Makita Rudolph, PN, DOULA, CCBE

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

1 Boston Medical Ctr PL
Boston, MA 02118-2908

Phone

(617) 414-5168

NPI assigned

Dec 5, 2023

Last updated

Dec 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Advanced Practice Nurse

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1255108734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MATTHEW CIR APT 103",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021846658",
            "telephone_number": "617-504-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BOSTON MEDICAL CTR PL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182908",
            "telephone_number": "617-414-5168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Matthew Cir Apt 103",
            "address_purpose": "LOCATION",
            "city": "Braintree",
            "state": "MA",
            "postal_code": "021846658",
            "country_code": "US",
            "telephone_number": "617-504-2374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "MAKITA",
        "credential": "PN, DOULA, CCBE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Lee Rudner, LMHC
• Ariana W Rudnick, MD
• Christopher Gerald Rudnick, PT, DPT
• Morgan S Rudnick, PA
• Kaila A Rudolph, MD
• Elizabeth Toosee Rue
• Amy Ruell, LICSW
• Christian T Ruff, M.D.
• Julia Ruff, PA-C
• Elizabeth Glenn Ruffing, M.T.S., PH.D.

• Doula in Boston, MA
• Providers in Boston, MA by specialty
• Doula in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.

Verify at the official NPI Registry.