Individual provider Active NPI

Caroline Elizabeth Rudd, DC

  • Chiropractor
  • Mansfield, MA
National Provider Identifier
1467347518
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHI5169 Issued in MA
Practice address
77 West St Ste a
Mansfield, MA 02048-2403
Phone
(774) 366-3156
Fax
(774) 284-4927
NPI assigned
Jun 10, 2025
Last updated
Jun 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHI5169 MA Primary

Addresses

Primary practice location

77 West St Ste a
Mansfield, MA 02048-2403

Mailing address

77 West St Ste a
Mansfield, MA 02048-2403
Phone (508) 339-1418

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250621000169 MA Practitioner - Chiropractic 8325550882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wicked Good Chiropractic and Wellness Group, PCGroup PAC ID 7911333141, 3 clinicians

Practice addresses (Care Compare)

77 W St
Suite a
Mansfield, MA 02048-2403
Phone (508) 339-1418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHI5169MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wicked Good Chiropractic & Wellness Group, PC Chiropractor CurrentSince Jun 16, 2025 Accepting new patients

Locations

77 West St
Ste A
Mansfield, MA 02048
Phone (508) 339-1418

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1467347518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WEST ST STE A",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020482403",
            "telephone_number": "508-339-1418",
            "fax_number": "774-284-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WEST ST STE A",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020482403",
            "telephone_number": "774-366-3156",
            "fax_number": "774-284-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDD",
        "first_name": "CAROLINE",
        "middle_name": "ELIZABETH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "CHI5169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.