Active NPI
Dillon Eugene Rudiger, ED.S.
- School Psychologist
- Hampton, VA
National Provider Identifier
1851063259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 0813001171
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0813001171 | VA | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hampton City Schools | Current | Accepting new patients |
Locations
1 Franklin St
Hampton, VA 23669
Phone (757) 727-2000
Interoperability endpoints
- 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.
-
- Local Education Agency (LEA)
- Hampton, VA
- NPI 1790701365
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.