Renee Sabrina Rudolph

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

499241 Issued in OH

Practice address

5270 Wilson Mills Rd
Richmond HTS, OH 44143-3017

Phone

(440) 600-4238

NPI assigned

Jul 15, 2014

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1699182345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1572 WOODHURST AVE",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441243406",
            "telephone_number": "440-600-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5270 WILSON MILLS RD",
            "city": "RICHMOND HTS",
            "state": "OH",
            "postal_code": "441433017",
            "telephone_number": "440-600-4238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1572 Woodhurst Ave",
            "address_purpose": "LOCATION",
            "city": "Mayfield Heights",
            "state": "OH",
            "postal_code": "441243406",
            "country_code": "US",
            "telephone_number": "440-600-4238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "RENEE",
        "middle_name": "SABRINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "401093230510",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "499241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0104413",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "reneern2021@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1572 Woodhurst Ave",
            "city": "Mayfield Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441243406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Registered Nurse in Richmond HTS, OH
• Providers in Richmond HTS, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.