Active NPI
Amber Marie Rudd, APRN
- Nurse Practitioner
- Columbia Falls, MT
National Provider Identifier
1942637533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NUR-RN-LIC-68413
- Practice address
- 1675 Talbot Rd
Columbia Falls, MT 59912 - Phone
- (406) 892-1411
- Fax
- (406) 892-4497
- NPI assigned
- Sep 27, 2013
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NUR-RN-LIC-68413 | MT | Primary |
Addresses
Primary practice location
1675 Talbot Rd
Columbia Falls, MT 59912
Mailing address
1675 Talbot Rd
Columbia Falls, MT 59912
Phone (406) 892-1411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NUR-RN-LIC-68413 | Other | MT | STATE OF MONTANA BOARD OF NURSING LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2022 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Logan Health - Whitefish | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rural Health Clinic/Center
- Eureka, MT
- NPI 1336115849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490659200000",
"number": "1942637533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 TALBOT RD",
"city": "COLUMBIA FALLS",
"state": "MT",
"postal_code": "59912",
"telephone_number": "406-892-1411",
"fax_number": "406-892-4497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 TALBOT RD",
"city": "COLUMBIA FALLS",
"state": "MT",
"postal_code": "59912",
"telephone_number": "406-892-1411",
"fax_number": "406-892-4497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDD",
"first_name": "AMBER",
"middle_name": "MARIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-27",
"last_updated": "2017-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MT",
"license": "NUR-RN-LIC-68413",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MONTANA BOARD OF NURSING LICENSE",
"identifier": "NUR-RN-LIC-68413",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.