Kristen Rudolph

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN004182 Issued in PA

Practice address

11279 Perry Hwy
Suite 105
Wexford, PA 15090-9381

Phone

(724) 934-3334

NPI assigned

May 26, 2010

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Children'S Community Care

  • Pediatrics Physician
  • Greensburg, PA
  • NPI 1124036637
  NPD (past)
• Children'S Community Care

  • Pediatrics Physician
  • Allison Park, PA
  • NPI 1508874041
  NPD (past)
• Children'S Community Care

  • Pediatrics Physician
  • Pittsburgh, PA
  • NPI 1568479152
  NPD (past)
• Children'S Community Care

  • Pediatrics Physician
  • Kittanning, PA
  • NPI 1790792323
  NPD (past)
• Childrens Community Pediatrics

  • Pediatrics Physician
  • Monroeville, PA
  • NPI 1740244110
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 15, 2021.

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1295054591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11279 PERRY HWY",
            "address_2": "SUITE 450",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11279 PERRY HWY",
            "address_2": "SUITE 105",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909381",
            "telephone_number": "724-934-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN004182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CHP@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rowland Associates OBGYN Inc
• Kathleen Rowland, MOTR/L
• Amy Leigh Rubinosky, MPAS-C
• Colleen Rubright, M.S., CCC-SLP
• Sara Ruby, D.M.D.
• Lindsay Rudolph, L.C.S.W.
• Randall Scott Ruffner, M.D.
• Liselle Ruggiero, PT, MSPT
• Gianna Carmella Runco
• Jet Nialle Rupar, LMT, CMLDT, EP-C

• All providers in Wexford, PA
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.