Active NPI
Cathy Rudolph, CNM
- Midwife
- Altamonte Springs, FL
National Provider Identifier
1952521627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- ARNP9174944
- Practice address
- 661 E Altamonte Dr
Suite 318
Altamonte Springs, FL 32701-5105 - Phone
- (407) 629-2552
- NPI assigned
- Apr 26, 2007
- Last updated
- May 10, 2012
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | ARNP9174944 | FL | Primary |
Addresses
Primary practice location
661 E Altamonte Dr
Suite 318
Altamonte Springs, FL 32701-5105
Mailing address
661 E Altamonte Dr
Suite 318
Altamonte Springs, FL 32701-5105
Phone (407) 629-2552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30399010 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jack J Wilson MD PA | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1083644025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336608000000",
"number": "1952521627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "661 E ALTAMONTE DR",
"address_2": "SUITE 318",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327015105",
"telephone_number": "407-629-2552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "661 E ALTAMONTE DR",
"address_2": "SUITE 318",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327015105",
"telephone_number": "407-629-2552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDOLPH",
"first_name": "CATHY",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2012-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "FL",
"license": "ARNP9174944",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30399010",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Altamonte Springs, FL
- Nicole Marie Roy, APRN
- Royal Palm Beach Rehab Corp (Action Physical Therapy)
- Royal Palm Beach Rehab Corp (Florida Orthocare)
- Royal Palm Beach Rehab, Corp. (Action Physical Therapy)
- Sarah Eleas Rucker, ARNP
- Ariana Lissette Ruiz Aguilar, WHNP
- Ricardo Ruiz Lorenzo, D.C.
- Alexander Ruiz, PTA
- Carlos Ruiz, MD
- Lesbia I Ruiz, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.