Tiara Dolores Rudzinski, AG-CNS BC

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

4704345043 Issued in MI

Practice address

109 Michigan St NW Ste 424
Grand Rapids, MI 49503-3799

Phone

(616) 200-8435

Fax

(616) 639-1319

NPI assigned

Jul 24, 2024

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

Practice roles

Locations

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.

• Hope Network - Rehabilitation Services

  • Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
  • Grand Rapids, MI
  • NPI 1528043544
  Medicare reassignment NPD
• Hope Network Behavioral Health Services

  • Mental Illness Community Based Residential Treatment Facility
  • Nunica, MI
  • NPI 1043295934
  Medicare reassignment NPD
• Hope Network West Michigan

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Sparta, MI
  • NPI 1679558670
  Medicare reassignment NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375
  Medicare reassignment NPD

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1346078052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MICHIGAN ST NW STE 424",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033799",
            "telephone_number": "616-200-8435",
            "fax_number": "616-639-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MICHIGAN ST NW STE 424",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033799",
            "telephone_number": "616-200-8435",
            "fax_number": "616-639-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDZINSKI",
        "first_name": "TIARA",
        "middle_name": "DOLORES",
        "credential": "AG-CNS BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-24",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "MI",
            "license": "4704345043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Kay Rude, PT
• Alaina Rudin
• Bradley Rudolph
• Susan K Rudolph, RN
• Gerard Rudy
• Deborah E. Ruediger, O.T.
• Karen Ruedinger, LLMSW
• Ruf Psychology Services
• Brooke M Ruf, PHD
• Avery Rufenacht

• Clinical Nurse Specialist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Nurse Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.