Madison Rae Ruda

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

409 Park Dr
Holcomb, KS 67851-9608

Phone

(620) 290-0881

NPI assigned

May 28, 2024

Last updated

May 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1740020726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 PARK DR",
            "city": "HOLCOMB",
            "state": "KS",
            "postal_code": "678519608",
            "telephone_number": "620-290-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 PARK DR",
            "city": "HOLCOMB",
            "state": "KS",
            "postal_code": "678519608",
            "telephone_number": "620-290-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDA",
        "first_name": "MADISON",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Renee Cox, PMHNP-BC
• H.E.a.R.T. Remedy LLC
• Joshua Allan Kimm, OTD, OTR/L
• Jennifer L Maddox
• Amanda Kay Ruda
• Gracelyn Ann Rupp, ATC
• Usd #363 - Holcomb Schools
• Emely Wilds, PT

• Athletic Trainer in Holcomb, KS
• Providers in Holcomb, KS by specialty
• Athletic Trainer in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.