Individual provider Active NPI

Maria Lana Rudd, RRT

  • Durable Medical Equipment & Medical Supplies
  • Hampton, VA
National Provider Identifier
1467920710
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
130956 Issued in VA
Practice address
2122 E Pembroke Ave
Hampton, VA 23664-1113
Phone
(315) 271-7560
NPI assigned
Nov 5, 2018
Last updated
Nov 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 130956 VA Primary
Customized Equipment (DME) 332BC3200X 130956 VA
Registered Respiratory Therapist 227900000X 0117005989 VA
Educational Registered Respiratory Therapist 2279E1000X 0117005989 VA
Home Health Registered Respiratory Therapist 2279H0200X 0117005989 VA
Palliative/Hospice Registered Respiratory Therapist 2279P3800X 0117005989 VA

Addresses

Primary practice location

2122 E Pembroke Ave
Hampton, VA 23664-1113

Mailing address

2122 E Pembroke Ave
Hampton, VA 23664-1113
Phone (315) 271-7560

Other names 1

  • Maria Lana Ling Former name

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

LicenseStateTypeSpecialty
0117005989VAMDPalliative/Hospice Registered Respiratory Therapist
130956VAMDCustomized Equipment (DME)

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1467920710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 E PEMBROKE AVE",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236641113",
            "telephone_number": "315-271-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 E PEMBROKE AVE",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236641113",
            "telephone_number": "315-271-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDD",
        "first_name": "MARIA",
        "middle_name": "LANA",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "130956",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "VA",
            "license": "130956",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "VA",
            "license": "0117005989",
            "primary": false
        },
        {
            "code": "2279E1000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Educational",
            "state": "VA",
            "license": "0117005989",
            "primary": false
        },
        {
            "code": "2279H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Home Health",
            "state": "VA",
            "license": "0117005989",
            "primary": false
        },
        {
            "code": "2279P3800X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Palliative/Hospice",
            "state": "VA",
            "license": "0117005989",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "LING",
            "middle_name": "LANA",
            "credential": "RRT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.