Amy J Rudbeck, R.D.

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

37000405A Issued in IN

Practice address

1700 E 38TH St
Marion, IN 46953-4568

Phone

(765) 674-3321

Fax

(765) 677-3150

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336259381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11821 E STANLEY RD",
            "city": "SELMA",
            "state": "IN",
            "postal_code": "473839375",
            "telephone_number": "765-468-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E 38TH ST",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469534568",
            "telephone_number": "765-674-3321",
            "fax_number": "765-677-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDBECK",
        "first_name": "AMY",
        "middle_name": "J",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "IN",
            "license": "37000405A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIETITIAN CERTIFICATION",
            "identifier": "37000405A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIETITIAN REGISTRATION",
            "identifier": "694975",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachelle Renee Rouse
• Krista Roush
• Phyllis Oehler Rowland, PT,MS,PCS, C/NDT
• Makaya Royal, RBT
• Stacey Lyn Ruberg, LMHC
• Abby Runion, LCSW, LAC
• Michael Russ, LCSW
• Calvin Russell, M.D.
• James W Russell
• Nancy Q Sabijon, OTR

• Metabolic Nutrition Registered Dietitian in Marion, IN
• Providers in Marion, IN by specialty
• Metabolic Nutrition Registered Dietitian in Indiana

• 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.

Verify at the official NPI Registry.