Active NPI
Stephanie Kelly Rudd
- Internist Chiropractor
- Seneca Falls, NY
National Provider Identifier
1376738229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internist Chiropractor
- License
- 111NI0900X
- Practice address
- 31 State St
Seneca Falls, NY 13148-1474 - Phone
- (315) 717-6294
- NPI assigned
- Sep 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internist Chiropractor | 111NI0900X | 111NI0900X | NY | Primary |
Addresses
Primary practice location
31 State St
Seneca Falls, NY 13148-1474
Mailing address
31 State St
Seneca Falls, NY 13148-1474
Phone (315) 717-6294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111NI0900X | NY | MD | Internist Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189555200000",
"number": "1376738229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 STATE ST",
"city": "SENECA FALLS",
"state": "NY",
"postal_code": "131481474",
"telephone_number": "315-717-6294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 STATE ST",
"city": "SENECA FALLS",
"state": "NY",
"postal_code": "131481474",
"telephone_number": "315-717-6294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDD",
"first_name": "STEPHANIE",
"middle_name": "KELLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-12",
"last_updated": "2007-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0900X",
"taxonomy_group": "",
"desc": "Chiropractor, Internist",
"state": "NY",
"license": "111NI0900X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seneca Falls, NY
- Kathleen V. Pivacek, LMSW
- Scott P. Pranis, LMSW
- Presence Psychology, LMSW, PT, OT and SLP Services, PLLC
- Presence Sealy Counseling and Development Licensedclinicalservicespllc
- Samali Akoth Rathbun, FNP
- Robert Ruddy, DC
- Kenneth J Rushing, DC STUDENT
- Timothy J Ryan, MD
- Mary Conley Sarratori, LAC
- Camerin Scaglione, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.