Active NPI
Carolina Rudge
- Behavior Analyst
- Midlothian, VA
National Provider Identifier
1487247938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0134000356
- Practice address
- 13841 Hull Street Rd Ste 4
Midlothian, VA 23112-2056 - Phone
- (727) 667-8852
- NPI assigned
- Feb 16, 2021
- Last updated
- Oct 18, 2024
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0134000356 | VA | Primary |
Addresses
Primary practice location
13841 Hull Street Rd Ste 4
Midlothian, VA 23112-2056
Mailing address
719 Holly St
Richmond, VA 23220-6511
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 |
|---|---|---|---|
| 0134000356 | VA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Transformation Group, LLC | Behavior Analyst | Past | Accepting new patients |
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.
-
- Cognitive & Behavioral Psychologist
- North Chesterfield, VA
- NPI 1174855985
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1487247938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 HOLLY ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232206511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13841 HULL STREET RD STE 4",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231122056",
"telephone_number": "727-667-8852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDGE",
"first_name": "CAROLINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-16",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0134000356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.