MRS. SHARON DENISE RUDOLPH (NPI# 1134539125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134539125 |
| Entity Type | Individual |
| Full Name | MRS. SHARON DENISE RUDOLPH |
| Other Name | SHARON D RUFFIN |
| Credential | NP |
| Practice Address |
4401 Cortez Rd W Bradenton FL 34210-3142 |
| Mailing Address |
Po Box 25487 Sarasota FL 34277-2487 |
| Practice Telephone | 9413575550 |
| Practice Fax Number | 9417927152 |
| Mailing Telephone | 9412025342 |
| Mailing Fax Number | 8552534836 |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2018-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2074876 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
18646 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | Y0541 | 01 |
| FL | 015065500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255532768 | Sharon Rudolph | Specialist/Technologist | 518 W 19th Ave, Anchorage, AK 99503-1830 | 2007-05-30 |
| Street Address |
4401 CORTEZ RD W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34210-3142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780681049 | Shahnaz Ahmed | Internal Medicine | 4401 Cortez Rd W, Bradenton, FL 34210-3142 | 2005-07-01 |
| 1164964193 | Leigh Anne Johnson | Physician Assistant | 4401 Cortez Rd W, Bradenton, FL 34210 | 2016-11-08 |
| 1609296441 | Anum Ahmed | Family Medicine | 4401 Cortez Rd W, Bradenton, FL 34210-3142 | 2014-04-20 |
| 1811311905 | Danielle Sookoor | Physician Assistant | 4401 Cortez Rd W, Bradenton, FL 34210-3142 | 2014-02-10 |
| 1114275153 | Elizabeth Wilson | Nurse Practitioner | 4401 Cortez Rd W, Bradenton, FL 34210-3142 | 2012-08-23 |
| 1417204074 | Florida Medical Specialists | Internal Medicine | 4401 Cortez Rd W, Bradenton, FL 34210 | 2012-08-13 |
| 1043581523 | Stephanie Minter | Internal Medicine | 4401 Cortez Rd W, Bradenton, FL 34210-3142 | 2012-01-16 |
| 1619974839 | Werther R. Marciales | Internal Medicine | 4401 Cortez Rd W, Bradenton, FL 34210-3142 | 2005-07-01 |
| 1518964733 | Aruna Narasimman | Internal Medicine | 4401 Cortez Rd W, Bradenton, FL 34210-3142 | 2005-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407337512 | Global Therapy and Wellness, Pllc | Social Worker | 6112 45th Street West, Bradenton, FL 34210 | 2018-08-27 |
| 1962912881 | Armer Alcorn | Specialist/Technologist | 5650 Bollettieri Blvd, Bradenton, FL 34210 | 2017-10-05 |
| 1053779611 | Therapeutic Lifestyle Solutions LLC | Occupational Therapist | 4702 Cortez Road, W Bradenton, FL 34210 | 2016-02-10 |
| 1831568344 | Alignment Healthcare Florida LLC | Clinic/Center | 3501 Cortez Rd. West, Jacksonville, FL 34210 | 2015-09-15 |
| 1659758910 | Vinai Artyamsoal | Obstetrics & Gynecology | 3633 Cortez Road West, Unit B-3, Bradenton, FL 34210 | 2015-05-06 |
| 1922355957 | Florida Medical Specialists | Dermatology | 4351 Cortez Rd W, Suite 101, Bradenton, FL 34210 | 2012-08-09 |
| 1386943728 | Valerie A Valle | Psychologist | 5650 Bollettieir Blvd, Bradenton, FL 34210 | 2011-03-24 |
| 1881899938 | Genevieve Duremdez Flexicare Physical Therapy | Physical Therapist | 3701 54th Dr. W. Bldg. M-101, Bradenton, FL 34210 | 2007-06-19 |
| 1194843623 | Steve C Hannan | Pharmacist | 4400 75th St. W., Bradenton, FL 34210 | 2007-03-26 |
| 1881761153 | Ruth Sidonie Cohn Eisner | Psychiatry & Neurology | 3639 Cortez Rd W Suite 108, Bradenton, FL 34210 | 2006-11-29 |
| Find all providers in zip 34210 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208494 | Abby Elizabeth Crews | Nurse Practitioner | 7534, Divot Loop, Bradenton, FL 34202 | 2020-09-01 |
| 1568002459 | South Florida Injury and Convenient Care | Nurse Practitioner | 2601 Manatee Ave W Ste E, Bradenton, FL 34205-4942 | 2020-01-09 |
| 1033758917 | Brooke Ariel Talbert | Nurse Practitioner | 1803 5th St W, Bradenton, FL 34205-8303 | 2019-12-25 |
| 1912550476 | Vilma Rodriguez | Nurse Practitioner | 1200 37th Ave E, Bradenton, FL 34208-4553 | 2019-07-23 |
| 1366008930 | Mary Janell Hostetler | Nurse Practitioner | 11611 Brookside Dr, Bradenton, FL 34211-4525 | 2019-05-19 |
| 1144886177 | Jewel Tartt | Nurse Practitioner | 1001 13th Avenue East, Medical Department, Bradenton, FL 34208-3420 | 2019-05-15 |
| 1336607522 | Katrina Onyx Wilson | Nurse Practitioner | 304 74th Street Ct Nw, Bradenton, FL 34209-2220 | 2019-03-06 |
| 1184193047 | Mary Kathleen Dufek | Nurse Practitioner | 8610 State Road 70 E, Bradenton, FL 34202-3785 | 2018-11-20 |
| 1255840922 | Megan Fallon | Nurse Practitioner | 250 2nd St E Ste 3b, Bradenton, FL 34208-1027 | 2017-09-26 |
| 1639604556 | Jodie Lynn Dodge | Nurse Practitioner | 8614 State Road 70 E Ste 200, Bradenton, FL 34202-3710 | 2017-04-28 |
| Find all providers in BRADENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.