Amy B Rudolph

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN303267L Issued in PA

Practice address

1288 Valley Forge Rd
Unit 69
Phoenixville, PA 19460-2687

Phone

(610) 933-9483

Fax

(610) 933-4080

NPI assigned

Mar 26, 2013

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1285976498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 HARVARD DR",
            "city": "TRAPPE",
            "state": "PA",
            "postal_code": "194261966",
            "telephone_number": "610-409-9559",
            "fax_number": "610-933-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 VALLEY FORGE RD",
            "address_2": "UNIT 69",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194602687",
            "telephone_number": "610-933-9483",
            "fax_number": "610-933-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "AMY",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN303267L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maurice Rozwat, MD
• RSS Optometry, LLC
• Barbara Campbell Rubino, M.S.W., L.C.S.W
• Louis Frank Rubino Jr., D.M.D.
• Cassandra A. Rudderow
• Katherine Elizabeth Ruoff, AUD
• Kathy Josephine Russell, PT
• Lindsay Rutter, LPC
• Sabet Behavioral and Respite LLC
• Mollie Sadler

• Registered Nurse in Phoenixville, PA
• Providers in Phoenixville, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.