Amanda Rudolph, RN, LPN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

746171 Issued in NY

Practice address

10 N Fulton Ave
Apt. 1L
Mount Vernon, NY 10550-1614

Phone

(347) 483-1444

NPI assigned

Oct 22, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560556800000",
    "number": "1306274725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N FULTON AVE APT 1L",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105501611",
            "telephone_number": "914-979-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N FULTON AVE",
            "address_2": "APT. 1L",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105501614",
            "telephone_number": "347-483-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "AMANDA",
        "name_prefix": "Ms.",
        "credential": "RN, LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-22",
        "last_updated": "2019-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NY",
            "license": "316023",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "316023",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "746171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Rousseau
• Stephanie Rousseau, NP
• Claudia Rubicco
• Joanne Ruckel, LCSW
• Tatyana Rudakova, RN
• Laurie Ann Ruffin, COTA/L
• Danielle A Ruocco, D.D.S.
• Audria Ann-Marie Russell
• Robert Alan Russell, D.C.
• Rosemarie Russell, FNP

• Registered Nurse in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2019; 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.