Active NPI
Lisa Dawn Rudolph, LPN
- Licensed Practical Nurse
- Billings, MT
National Provider Identifier
1871804658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 32041
- Practice address
- 2937 Alaskan Ave
Billings, MT 59101-6851 - Phone
- (406) 256-7126
- NPI assigned
- Jun 28, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 32041 | MT | Primary |
Addresses
Primary practice location
2937 Alaskan Ave
Billings, MT 59101-6851
Mailing address
2937 Alaskan Ave
Billings, MT 59101-6851
Phone (406) 256-7126
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32041 | Other | MT | MONTANA BOARD OF NURSING |
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 |
|---|---|---|---|
| 32041 | MT | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277683200000",
"number": "1871804658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2937 ALASKAN AVE",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591016851",
"telephone_number": "406-256-7126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2937 ALASKAN AVE",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591016851",
"telephone_number": "406-256-7126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDOLPH",
"first_name": "LISA",
"middle_name": "DAWN",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-28",
"last_updated": "2010-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MT",
"license": "32041",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MONTANA BOARD OF NURSING",
"identifier": "32041",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.