Kathy Margaret Rudisill II, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

101388 Issued in NC

Practice address

731 5TH St SW
Hickory, NC 28602-3235

Phone

(828) 322-5915

Fax

(828) 345-0387

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By 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

Other names 1

• Kathy Margaret Richardson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hickory Allergy and Asthma Clinic, PA

  • Allergy & Immunology Physician
  • Hickory, NC
  • NPI 1598714297
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770694440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 5TH ST SW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286023235",
            "telephone_number": "828-322-5915",
            "fax_number": "828-345-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 5TH ST SW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286023235",
            "telephone_number": "828-322-5915",
            "fax_number": "828-345-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDISILL",
        "first_name": "KATHY",
        "middle_name": "MARGARET",
        "name_suffix": "II",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "RICHARDSON",
            "middle_name": "MARGARET",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kurtis Royer, LPC, CAC
• Lucy Kimball Royster, PA-C
• Cathy M Rubel, CPOA, C PED, CMF
• James P Rubel, CPO
• Sara Ellen Rubel, L.P.C.
• Lisa A Rudisill, MSN FNP C
• Rudy a Santoso MD
• John Luther Rufty Jr., CPO
• Mohammad Fayez Rujubali, MBBS
• Runy Thao Counseling, PLLC

• Physician Assistant in Hickory, NC
• Providers in Hickory, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.