Individual provider Active NPI

Amy Elaine Rudder, DC

  • Chiropractor
  • Winchester, TN
National Provider Identifier
1295948081
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2192 Issued in TN
Practice address
1229 Dinah Shore Blvd
Winchester, TN 37398-1657
Phone
(931) 967-4199
Fax
(931) 967-4099
NPI assigned
May 8, 2007
Last updated
Oct 17, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2192 TN Primary

Addresses

Primary practice location

1229 Dinah Shore Blvd
Winchester, TN 37398-1657

Mailing address

1229 Dinah Shore Blvd
Winchester, TN 37398-1135
Phone (931) 967-4199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071003000632 TN Practitioner - Chiropractic 7911092143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rudder Chiropractic Center, LLCGroup PAC ID 0840368692, 3 clinicians

Practice addresses (Care Compare)

25 Veteran's Dr
Decherd, TN 37324-3887
Phone (931) 967-4199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2192TNMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Rudder Chiropractic Center, LLC Chiropractor CurrentSince Sep 15, 2008 Accepting new patients

Locations

25 Veterans Dr
Decherd, TN 37324
Phone (931) 962-2273

1229 Dinah Shore Blvd
Winchester, TN 37398
Phone (931) 967-4199

Interoperability endpoints

  • Direct secure messaging: aerudder@acr0001.direct.chirotouch.md

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1295948081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 DINAH SHORE BLVD",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373981135",
            "telephone_number": "931-967-4199",
            "fax_number": "931-967-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 DINAH SHORE BLVD",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373981657",
            "telephone_number": "931-967-4199",
            "fax_number": "931-967-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDDER",
        "first_name": "AMY",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.