Active NPI
Kathleen Ann Rudnick, R.N.
- Case Manager/Care Coordinator
- Covington, KY
National Provider Identifier
1427263607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 1095225
- Practice address
- 2014 Eastern Ave
Covington, KY 41014-1530 - Phone
- (859) 815-1092
- NPI assigned
- May 11, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 1095225 | KY | Primary |
Addresses
Primary practice location
2014 Eastern Ave
Covington, KY 41014-1530
Mailing address
11 Shelter View CT
Wilder, KY 41076-9123
Phone (859) 442-5208
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1095225 | KY | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427263607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 SHELTER VIEW CT",
"city": "WILDER",
"state": "KY",
"postal_code": "410769123",
"telephone_number": "859-442-5208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2014 EASTERN AVE",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410141530",
"telephone_number": "859-815-1092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDNICK",
"first_name": "KATHLEEN",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "KY",
"license": "1095225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, KY
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- Kaylin Maurice Ross
- Tasha N Ross, LCSW
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- RSVP Equipment of Greater Cincinnati, LLC (Pediatric Home Service)
- Susan Ruedy, M.A.
- Autumn R Ruehl, CSW
- Shannon Rebecca Russell, LCSW
- Thomas Woodrow Russell, RPH
- Stacie Hope Rutar, MSW,CSW,LISW, LCSW
Sources for this page
- 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.