Patrick Lee Rudolph

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Practice address

1112 14TH Ave SE
Saint Cloud, MN 56304-1742

Phone

(320) 237-4291

NPI assigned

Dec 10, 2010

Sex

Male

Sole proprietor

Yes

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": "1291939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291939200000",
    "number": "1831492925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 14TH AVE SE",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563041742",
            "telephone_number": "320-237-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 14TH AVE SE",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563041742",
            "telephone_number": "320-237-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "PATRICK",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-10",
        "last_updated": "2010-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Royalty Care
• Penny L Rubesh, FNP
• Kellee Rucks, APRN, FNP-BC
• Mark Allen Rudel, PA
• Kyle Erick Rudningen, MD
• Eric Rudrud, PH.D.
• Shawn Joseph Rue
• Daniel Rueckert
• Sarah Rueter
• Oluwakemi K Rufai, LPN

• Foster Care Agency in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Foster Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.