Monica Rudestam, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC150554 Issued in OR

Practice address

21358 Highway 99E NE
Aurora, OR 97002-9201

Phone

(971) 409-4049

NPI assigned

Apr 5, 2010

Last updated

May 13, 2016By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Monica Rudestam

  • Preferred Provider Organization
  • Aurora, OR
  • NPI 1235418625
  NPD (past) Authorized official

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1861717639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 115",
            "city": "AURORA",
            "state": "OR",
            "postal_code": "970020115",
            "telephone_number": "971-409-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21358 HIGHWAY 99E NE",
            "city": "AURORA",
            "state": "OR",
            "postal_code": "970029201",
            "telephone_number": "971-409-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDESTAM",
        "first_name": "MONICA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC150554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob B Korolak
• Life Flight Network LLC
• Monica Rudestam
• Daniel James Keegan O'Connell, LCSW
• Mary Jane Peterson, PHD
• Robin Schaefer, D.C., L.AC.
• Kay Lynette Stradinger, PSYD
• Marilee J Sullivan, RDH/EPDH
• Therapeutic Associates Inc (TAI - Woodburn Physical Therapy)
• Kindra L Trachsel, RN

• Acupuncturist in Aurora, OR
• Providers in Aurora, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.