Jennifer Rudolph, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP006778 Issued in GA

Practice address

1185 Collier Rd NW
Apt 2129
Atlanta, GA 30318-8232

Phone

(205) 492-2507

Fax

(678) 922-2267

NPI assigned

Oct 17, 2008

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1912159286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 COLLIER RD NW",
            "address_2": "APT 2129",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303188232",
            "telephone_number": "205-492-2507",
            "fax_number": "678-922-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 COLLIER RD NW",
            "address_2": "APT 2129",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303188232",
            "telephone_number": "205-492-2507",
            "fax_number": "678-922-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "JENNIFER",
        "name_prefix": "Miss",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Edward Rudisch, M.D.
• Dana Noel Rudisill
• Melanie Lin Rudisill, RPH
• Kerith Stern Rudnicki, MD
• Chequera Rudolph, RN
• Soumon Rudra, M.D.
• Passie McCarty Rue, L.C.S.W.
• Tracy Ann Ruegg, ARNP
• Diana Ruehlmann, MD
• Jordan Ruff

• Speech-Language Pathologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.