Active NPI
Tatenda Valentine Rudziva, MSN, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Rochester, MN
National Provider Identifier
1497303150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 6863
- Practice address
- 2989 315 Elton Hills Drive NW
Suite 201
Rochester, MN 55901 - Phone
- (507) 322-6564
- NPI assigned
- Aug 27, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 6863 | MN | Primary |
Addresses
Primary practice location
2989 315 Elton Hills Drive NW
Suite 201
Rochester, MN 55901
Mailing address
315 Elton Hills Dr NW Ste 201
Rochester, MN 55901-2989
Phone (507) 322-6564
Other practice location 1
200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other practice location 2
300 3rd Ave SE Ste 201
Rochester, MN 55904-4632
Phone (507) 216-3750
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | trudziva150380@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 8, 2022 through Dec 8, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6863 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serene Spirit Mental Health Care, LLC | Past | Accepting new patients | |
| Flick Consultation Group PLLC | Psychiatric/Mental Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Rochester, MN
- NPI 1821615147
Psychiatric/Mental Health
-
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Rochester, MN
- NPI 1447702139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753920000000",
"number": "1497303150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 ELTON HILLS DR NW STE 201",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559012989",
"telephone_number": "507-322-6564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2989 315 ELTON HILLS DRIVE NW",
"address_2": "SUITE 201",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "55901",
"telephone_number": "507-322-6564"
}
],
"practiceLocations": [
{
"address_1": "200 1st St SW",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559050001",
"country_code": "US",
"telephone_number": "507-284-2511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 3rd Ave SE Ste 201",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559044632",
"country_code": "US",
"telephone_number": "507-216-3750",
"fax_number": "507-776-5036",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUDZIVA",
"first_name": "TATENDA",
"middle_name": "VALENTINE",
"credential": "MSN, APRN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-27",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MN",
"license": "6863",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "trudziva150380@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "200 1st St SW",
"city": "Rochester",
"state": "MN",
"country_code": "US",
"postal_code": "559050001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.