Lori Rudolph, PH.D

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0245 Issued in NM

Practice address

2704 Los Anayas Rd NW
Albuquerque, NM 87104-2934

Phone

(505) 550-9553

NPI assigned

Oct 30, 2013

Last updated

Oct 30, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Lori Helene Rudolph Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1538597471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 LOS ANAYAS RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871042934",
            "telephone_number": "505-550-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 LOS ANAYAS RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871042934",
            "telephone_number": "505-550-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "LORI",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "RUDOLPH",
            "middle_name": "HELENE",
            "prefix": "DR.",
            "credential": "PH.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Travis C. Rudd, DDS
• Jeremy Ruddell
• Matthew Ruder
• Leah A Rudnick, MD
• Lance A. Rudolph, M.D.
• Elizabeth Marie Rudolphi, PA AS OF 3/28/14
• Rue Flower Equity in Wellness
• Carlos Andres Rueda Mantilla, MD
• Peter Ruel, PTA
• Julia Ruffo, MD

• Professional Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.