Andrea Rubendunst, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1022 Issued in TN

Practice address

130 S Maple St
Murfreesboro, TN 37130-3530

Phone

(615) 217-4770

Fax

(615) 217-7607

NPI assigned

Mar 29, 2007

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

Physician Assistant

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 and National Provider Directory roles.

• Maple St Medical PLLC

  • Family Medicine Physician
  • Murfreesboro, TN
  • NPI 1427754795
  NPD (past)
• Saint Thomas Medical Partners

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1437194669
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922127745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 EMPRESS DR APT C3",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371301228",
            "telephone_number": "615-217-4770",
            "fax_number": "615-217-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S MAPLE ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303530",
            "telephone_number": "615-217-4770",
            "fax_number": "615-217-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBENDUNST",
        "first_name": "ANDREA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rox Dental Partners, PLLC
• Salil Roy, M.D.
• McKenna Marie Royce
• Ted L. Rozell Jr, RPH
• Mark James Ruark II, D.M.D.
• Jason M Rubino, DO
• Anna Marie Rucker
• Gaytrice K. Rucker
• Kristen Ellen Rucker
• Britney Rudd, NP

• Physician Assistant in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.