Active NPI
Lisa Rudolph, CNS
- Acute Care Clinical Nurse Specialist
- Oklahoma City, OK
National Provider Identifier
1285838581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Clinical Nurse Specialist
- License
- 38393
- Practice address
- 1000 North Lee
Oklahoma City, OK 73101-1036 - Phone
- (405) 272-6368
- NPI assigned
- Jun 12, 2007
- 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 |
|---|---|---|---|---|
| Acute Care Clinical Nurse Specialist | 364SA2100X | 38393 | OK | Primary |
Addresses
Primary practice location
1000 North Lee
Oklahoma City, OK 73101-1036
Mailing address
2105 Del Simmons Dr
Edmond, OK 73003-2411
Phone (405) 315-1222
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
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38393 | OK | MD | Acute Care Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285838581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 DEL SIMMONS DR",
"city": "EDMOND",
"state": "OK",
"postal_code": "730032411",
"telephone_number": "405-315-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 NORTH LEE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731011036",
"telephone_number": "405-272-6368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDOLPH",
"first_name": "LISA",
"name_prefix": "Ms.",
"credential": "CNS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2100X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Acute Care",
"state": "OK",
"license": "38393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.