Rachel Rudolf

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-18816 Issued in IN

Practice address

113 Eaglette Way
Shelbyville, TN 37160-9263

Phone

(931) 684-8681

NPI assigned

Oct 1, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Community Development Center

  • Behavior Analyst
  • Lewisburg, TN
  • NPI 1891145678
  NPD (past)
• Scarab Behavioral Health Services, LLC

  • Professional Counselor
  • Nashville, TN
  • NPI 1871650382
  NPD (past)

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1629448741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 EAGLETTE WAY",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371609263",
            "telephone_number": "931-684-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 EAGLETTE WAY",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371609263",
            "telephone_number": "931-684-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLF",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-01",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "877",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-15-18816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rick Ritter, PT
• Erica Stich Rogers, M.D.
• Jacqueline Chapman Rogers, PSY.D.
• Lindsay Rose
• RPM Rehab, Inc.
• Rupard & Mackens Medical Group PLLC
• Rupard & Speake Medical Group PLLC
• Rupard & Speake Pediatric Group PLLC
• Joseph Howard Rupard, M D
• William Lee Russell, MD

• Behavior Analyst in Shelbyville, TN
• Providers in Shelbyville, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.