Individual provider Active NPI

Virginia Ruth Rudd, RN, ANP, CRNA

  • Certified Registered Nurse Anesthetist
  • Greenville, SC
National Provider Identifier
1760559231
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN608166 Issued in PA
Practice address
7 Independence PT Ste 300
Greenville, SC 29615-4569
Phone
(864) 522-3700
Fax
(864) 522-3705
NPI assigned
Nov 29, 2006
Last updated
Sep 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 370027 NY
Adult Health Nurse Practitioner 363LA2200X 302289 NY
Certified Registered Nurse Anesthetist 367500000X 101378 NE
Certified Registered Nurse Anesthetist 367500000X ARNP9444373 FL
Certified Registered Nurse Anesthetist 367500000X 557092 KS
Certified Registered Nurse Anesthetist 367500000X 27623 SC
Certified Registered Nurse Anesthetist 367500000X RN608166 PA Primary
Registered Nurse 163W00000X 418509 NY
Registered Nurse 163W00000X RN608166 PA
Registered Nurse 163W00000X 28232980A IN
Registered Nurse 163W00000X 433455 OH
Registered Nurse 163W00000X 2016039261 MO
Registered Nurse 163W00000X 83129 NE
Registered Nurse 163W00000X 118952 KS
Registered Nurse 163W00000X RN076387 GA

Addresses

Primary practice location

7 Independence PT Ste 300
Greenville, SC 29615-4569

Mailing address

1001 S George St
York, PA 17403-3676
Phone (717) 812-7687

Other practice location 1

1700 SW 7th St
Topeka, KS 66606-2489
Phone (785) 295-8440

Other identifiers 1

IdentifierTypeStateIssuer
13793612OtherCAQH

Other names 1

  • Jennie Rudd Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MA, PA, NY, SC5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20180125002818 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264501766 Reassigns benefits to 3 organizations
I20190513002486 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264501766 Reassigns benefits to 1 organization
I20191001001545 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264501766 Reassigns benefits to 3 organizations
I20201030001101 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264501766 Reassigns benefits to 1 organization
I20231003001430 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264501766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7 Independence PT
Suite 300
Greenville, SC 29615-4569
Phone (864) 522-3700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN076387GAMDRegistered Nurse
28232980AINMDRegistered Nurse
118952KSMDRegistered Nurse
2016039261MOMDRegistered Nurse
83129NEMDRegistered Nurse
433455OHMDRegistered Nurse
RN608166PAMDRegistered Nurse
370027NYMDNurse Practitioner
302289NYMDAdult Health Nurse Practitioner
ARNP9444373FLMDCertified Registered Nurse Anesthetist
557092KSMDCertified Registered Nurse Anesthetist
101378NEMDCertified Registered Nurse Anesthetist
27623SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Sep 12, 2023 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 6, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Jan 30, 2022 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Apr 8, 2021 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Apr 8, 2021 Accepting new patients
Great Lakes Anesthesiology, PC CurrentSince Oct 1, 2022 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Jul 20, 2018 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 13, 2024 Accepting new patients
Prisma Health University Medical Group CurrentSince Sep 12, 2023 Accepting new patients
Wellspan Medical Group CurrentSince Jan 30, 2022 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Rgal Anesthesia Services LLC CurrentSince May 21, 2021 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Precision Anesthesia Associates PC CurrentSince Apr 3, 2019 Accepting new patients
Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Sheridan Healthcare of Washington, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Services of Omaha LLC Past Accepting new patients

Locations

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

4901 Vineland Rd
Ste 150
Orlando, FL 32811
Phone (407) 370-3272

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-0793

100 South St
Southbridge, MA 01550
Phone (508) 764-8012

3095 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 896-2245

515 Main St
Olean, NY 14760
Phone (716) 373-2600

112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300

1811 Bethlehem Pike
Ste 300
Flourtown, PA 19031
Phone (215) 402-0600

2104 Harrisburg Pike
Ste 300
Lancaster, PA 17601
Phone (717) 544-3400

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

100 E Lancaster Ave
Ste 252
Wynnewood, PA 19096
Phone (610) 896-7360

1001 S George St
York, PA 17403
Phone (717) 812-7687

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602

7 Independence Pt
Ste 300
Greenville, SC 29615
Phone (864) 522-3700

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1760559231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033676",
            "telephone_number": "717-812-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 INDEPENDENCE PT STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154569",
            "telephone_number": "864-522-3700",
            "fax_number": "864-522-3705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 SW 7th St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666062489",
            "country_code": "US",
            "telephone_number": "785-295-8440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDD",
        "first_name": "VIRGINIA",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "RN, ANP, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "370027",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "302289",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101378",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9444373",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "557092",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "27623",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN608166",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "418509",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN608166",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28232980A",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "433455",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2016039261",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "83129",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "118952",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN076387",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13793612",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIE",
            "last_name": "RUDD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.