Active NPI
Nicole Rudolph
- Prosthetics Case Management
- Columbia, SC
National Provider Identifier
1609211655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- Practice address
- 301 Rice Meadow Way
3
Columbia, SC 29229-8403 - Phone
- (803) 369-1203
- NPI assigned
- May 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | Primary |
Addresses
Primary practice location
301 Rice Meadow Way
3
Columbia, SC 29229-8403
Mailing address
7648 Garners Ferry Rd
148
Columbia, SC 29209-3867
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": "1367539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367539200000",
"number": "1609211655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7648 GARNERS FERRY RD",
"address_2": "148",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292093867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 RICE MEADOW WAY",
"address_2": "3",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292298403",
"telephone_number": "803-369-1203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDOLPH",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-03",
"last_updated": "2013-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.