Kayli Marie Rudd, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

6601 SW 49TH Ter
Miami, FL 33155-6100

Phone

(786) 219-8187

NPI assigned

Jun 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1467012542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 SW 49TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 SW 49TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556100",
            "telephone_number": "786-219-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDD",
        "first_name": "KAYLI",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yani Trevin Rubio, NMT, MM, MT-BC
• Ruby Alf
• Jennifer Ruch Villa
• Vanessa Aparecida Rucky, RMHCI
• Robert J. Rudas, M.D.
• Nancy A. Rudes, LCSW
• Bianca Rudge, LCSW
• Rudolph Eberwein MD PA
• Rudolph Eberwein, MD PA
• Rudom Medical Equipment, Inc

• Athletic Trainer in Miami, FL
• Providers in Miami, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.