Individual provider Active NPI

Nathan Rude, SUDCC II

  • Addiction (Substance Use Disorder) Counselor
  • Roseville, CA
National Provider Identifier
1548415300
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
15918 Issued in CA
Practice address
406 Sunrise Ave Ste 100
Roseville, CA 95661-4106
Phone
(916) 782-3737
NPI assigned
Nov 20, 2008
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15918 CA Primary

Addresses

Primary practice location

406 Sunrise Ave Ste 100
Roseville, CA 95661-4106

Mailing address

406 Sunrise Ave Ste 100
Roseville, CA 95661-4106
Phone (916) 782-3737

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

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1548415300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 SUNRISE AVE STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614106",
            "telephone_number": "916-782-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 SUNRISE AVE STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614106",
            "telephone_number": "916-782-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDE",
        "first_name": "NATHAN",
        "credential": "SUDCC II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-20",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "15918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.