Zachary August Rudat, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-103761 Issued in AL

Practice address

750 Morphy Ave
Fairhope, AL 36532-1812

Phone

(251) 929-1500

NPI assigned

Feb 13, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Zack August Rudat Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4349/brand/1/csg/1/fhir/r4

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.

• Eastern Shore Urgent Care LLC

  • Family Medicine Physician
  • Daphne, AL
  • NPI 1376706275
  NPD (past)
• Eastern Shore Urgent Care LLC

  • Urgent Care Clinic/Center
  • Chestertown, MD
  • NPI 1548924988

  Family

  NPD (past)

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1881833945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 BAYLES ST",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365327655",
            "telephone_number": "251-929-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MORPHY AVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321812",
            "telephone_number": "251-929-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDAT",
        "first_name": "ZACHARY",
        "middle_name": "AUGUST",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-13",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-103761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZACK",
            "last_name": "RUDAT",
            "middle_name": "AUGUST",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christin Marie Rowe, P.A.-C.
• Jared Rowell
• Tori Lee Rowell, OTR/L
• Barbara W Rubino, RDN, LDN
• Christa Rudat, IBCLC, MSN
• Leslie Vaughan Rush III, DO
• Desmond Nii Sackey, MD
• Kelly William Sadler, NP-C
• James Sahawneh, MD
• Samy F Saleeb, M.D.

• Family Nurse Practitioner in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.