Individual provider Active NPI

Dillon Eugene Rudiger, ED.S.

  • School Psychologist
  • Hampton, VA
National Provider Identifier
1851063259
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
0813001171 Issued in VA
Practice address
1 Franklin St
Hampton, VA 23669-3568
Phone
(757) 727-2450
NPI assigned
Oct 4, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 0813001171 VA Primary

Addresses

Primary practice location

1 Franklin St
Hampton, VA 23669-3568

Mailing address

1 Franklin St
Hampton, VA 23669-3568
Phone (757) 727-2450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0813001171VAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hampton City Schools CurrentSince Jan 19, 2025 Accepting new patients

Locations

1 Franklin St
Hampton, VA 23669
Phone (757) 727-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17374/brand/6/csg/81/fhir/r4

Organizations & group practices 1

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": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1851063259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FRANKLIN ST",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236693568",
            "telephone_number": "757-727-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FRANKLIN ST",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236693568",
            "telephone_number": "757-727-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDIGER",
        "first_name": "DILLON",
        "middle_name": "EUGENE",
        "credential": "ED.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "VA",
            "license": "0813001171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.