Active NPI
Elaine B Rudel, MS, SLP-CCC
- Speech-Language Pathologist
- Waltham, MA
National Provider Identifier
1619045580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6117
- Practice address
- 118 Central St
Waltham, MA 02453-5465 - Phone
- (781) 891-0556
- NPI assigned
- Nov 30, 2006
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6117 | MA | Primary |
Addresses
Primary practice location
118 Central St
Waltham, MA 02453-5465
Mailing address
205R Rindge Ave
Cambridge, MA 02140-2533
Phone (617) 864-6198
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6117 | MA | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619045580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205R RINDGE AVE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021402533",
"telephone_number": "617-864-6198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 CENTRAL ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024535465",
"telephone_number": "781-891-0556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDEL",
"first_name": "ELAINE",
"middle_name": "B",
"credential": "MS, SLP-CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "6117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.