Individual provider Active NPI

Rira Yoo Rudnick, FNP

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1831766583
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0996298-NP Issued in CO
Practice address
4660 Yosemite St Ste 100
Denver, CO 80238-4481
Phone
(720) 516-8902
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X RN.1665551 CO
Family Nurse Practitioner 363LF0000X APN.0996298-NP CO Primary

Addresses

Primary practice location

4660 Yosemite St Ste 100
Denver, CO 80238-4481

Mailing address

5831 Galena St
Denver, CO 80238-4149
Phone (508) 221-7458

Other practice location 1

5831 Galena St
Denver, CO 80238-4149
Phone (508) 221-7458

Other practice location 2

6507 S Santa Fe Dr
Littleton, CO 80120-2910
Phone (303) 730-8858

Other identifiers 1

IdentifierTypeStateIssuer
9000196610MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210914000734 CO Practitioner - Nurse Practitioner 0547666703 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.1665551COMDMedical-Surgical Registered Nurse
APN.0996298-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arapahoe Mental Health Center, Inc CurrentSince Sep 1, 2021 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Mar 6, 2023 Accepting new patients
Arapahoe Mental Health Center, Inc Current Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince Sep 1, 2021 Accepting new patients
Mile High Urgent Care PLLC CurrentSince Jul 10, 2021 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Mar 6, 2023 Accepting new patients
Colorado Urgent Care Physicians, PC Past Accepting new patients

Locations

15240 W 64th Ave
Arvada, CO 80007
Phone (303) 463-7180

16951 E Quincy Ave
Aurora, CO 80015
Phone (303) 752-5470

4404 Barranca Ln
Ste 101
Castle Rock, CO 80104
Phone (720) 733-5260

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

4660 Yosemite St
Ste 100
Denver, CO 80238
Phone (720) 516-8900

311 Steele St
Denver, CO 80206
Phone (303) 372-4000

116 Inverness Dr E
Ste 105
Englewood, CO 80112

9475 S University Blvd
Highlands Ranch, CO 80126
Phone (303) 470-4061

9985 W Remington Pl
Littleton, CO 80128
Phone (720) 818-8010

6507 S Santa Fe Dr
Littleton, CO 80120
Phone (303) 730-0797

8155 Piney River Ave
Ste 100
Littleton, CO 80125
Phone (303) 265-3370

5524 S Prince St
Littleton, CO 80120
Phone (303) 730-0797

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

13631 Colorado Blvd
Thornton, CO 80602
Phone (303) 252-2960

Interoperability endpoints

  • Direct secure messaging: rira.rudnick@786660967055364.direct.elationemr.com
  • Direct secure messaging: rira.rudnick.1@30520.direct.athenahealth.com

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1831766583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5831 GALENA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802384149",
            "telephone_number": "508-221-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 YOSEMITE ST STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802384481",
            "telephone_number": "720-516-8902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5831 Galena St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802384149",
            "country_code": "US",
            "telephone_number": "508-221-7458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6507 S Santa Fe Dr",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801202910",
            "country_code": "US",
            "telephone_number": "303-730-8858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDNICK",
        "first_name": "RIRA",
        "middle_name": "YOO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CO",
            "license": "RN.1665551",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0996298-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000196610",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.