Individual provider Active NPI

D'Anne Patricia Rudden, AU.D.

  • Audiologist
  • Longmont, CO
National Provider Identifier
1366433039
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
172 Issued in CO
Practice address
195 S Main St Ste 8
Longmont, CO 80501-6218
Phone
(303) 651-1178
Fax
(303) 651-0488
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 172 CO Primary

Addresses

Primary practice location

195 S Main St Ste 8
Longmont, CO 80501-6218

Mailing address

195 S Main St Ste 8
Longmont, CO 80501-6218
Phone (303) 651-1178

Other identifiers 1

IdentifierTypeStateIssuer
45-00037OtherCOEVERCARE PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120313000918 CO Practitioner - Qualified Audiologist 9638066061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

195 S Main St
Longmont, CO 80501-6218
Phone (303) 651-1178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
172COMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rudden Audiology, Inc. Audiologist CurrentSince Apr 1, 2002 Accepting new patients

Locations

1146 Francis St
Longmont, CO 80501
Phone (303) 651-1178

195 S Main St
Ste 8
Longmont, CO 80501
Phone (303) 651-1178

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1366433039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 S MAIN ST STE 8",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016218",
            "telephone_number": "303-651-1178",
            "fax_number": "303-651-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 S MAIN ST STE 8",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016218",
            "telephone_number": "303-651-1178",
            "fax_number": "303-651-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDDEN",
        "first_name": "D'ANNE",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE PROVIDER NUMBER",
            "identifier": "45-00037",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.