Active NPI
Faith Rudd, BSN, RN, NC-BC
- Health & Wellness Coach
- Chipley, FL
National Provider Identifier
1902632060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- 20876H5
- Practice address
- 4067 Zinnia Dr
Chipley, FL 32428-8008 - Phone
- (850) 326-6271
- NPI assigned
- Sep 13, 2024
- 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 |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | 20876H5 | FL | Primary |
Addresses
Primary practice location
4067 Zinnia Dr
Chipley, FL 32428-8008
Mailing address
4067 Zinnia Dr
Chipley, FL 32428-8008
Phone (850) 326-6271
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20876H5 | FL | MD | Health & Wellness Coach |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1902632060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4067 ZINNIA DR",
"city": "CHIPLEY",
"state": "FL",
"postal_code": "324288008",
"telephone_number": "850-326-6271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4067 ZINNIA DR",
"city": "CHIPLEY",
"state": "FL",
"postal_code": "324288008",
"telephone_number": "850-326-6271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDD",
"first_name": "FAITH",
"credential": "BSN, RN, NC-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-13",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "FL",
"license": "20876H5",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chipley, FL
- Restore Therapy and Wellness, Inc. (Coastal Fitness & Rehablilitation Center)
- Carla S Rhynes-Campbell, RCSWI
- Robert W Snare MD PA (Robert W Snare MD)
- Kevin Michael Rollins, APRN
- Brandi L Rotello, FNP-BC
- Anita Karen Runyan
- Glynn Stephenson Seay, C.R.N.A.
- Teresa Lynn Seay, ARNP
- Yachira Marie Segarra, LPN
- Susie Weaver Sewell, RN, MSN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.