Active NPI
Daniel Ruedeman, ATC
- Athletic Trainer
- Vail, CO
National Provider Identifier
1659333409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 282
- Practice address
- 181 W Meadow Dr
Suite 400
Vail, CO 81657-5242 - Phone
- (970) 476-1100
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 282 | NH | Primary |
Addresses
Primary practice location
181 W Meadow Dr
Suite 400
Vail, CO 81657-5242
Mailing address
306 Crazy Horse PT
Edwards, CO 81632-8013
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 282 | NH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217808000000",
"number": "1659333409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 CRAZY HORSE PT",
"city": "EDWARDS",
"state": "CO",
"postal_code": "816328013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 W MEADOW DR",
"address_2": "SUITE 400",
"city": "VAIL",
"state": "CO",
"postal_code": "816575242",
"telephone_number": "970-476-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUEDEMAN",
"first_name": "DANIEL",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2008-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NH",
"license": "282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vail, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.