ELIZABETH RUDOLPH (NPI# 1194324707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194324707 |
| Entity Type | Individual |
| Full Name | ELIZABETH RUDOLPH |
| Practice Address |
5568 S Fort Apache Rd Las Vegas NV 89148-3602 |
| Mailing Address |
10508 Harvest Wind Dr Las Vegas NV 89135-4015 |
| Practice Telephone | 9497931056 |
| Mailing Telephone | 9497931056 |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 9942 | NV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912038605 | Elizabeth T Rudolph | Nurse Practitioner | 4319 Stone Way N, Seattle, WA 98103-7420 | 2007-03-07 |
| 1871993212 | Elizabeth Rudolph | Case Manager/Care Coordinator | 110 N Mill St, Festus, MO 63028-1816 | 2014-09-03 |
| 1710262233 | Elizabeth Ann Rudolph | Psychologist | 1200 N West Ave, Jackson, MI 49202-2179 | 2011-10-16 |
| Street Address |
5568 S FORT APACHE RD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89148-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457544538 | Michael Joseph Sobran | Chiropractor | 5568 S Fort Apache Rd, Las Vegas, NV 89148-3602 | 2007-08-22 |
| 1114286622 | Hollywood Wellness Associates Inc. | Chiropractor | 5568 S Fort Apache Rd, Las Vegas, NV 89148-3602 | 2012-05-04 |
| 1396023222 | Hollywood Wellness Associates, Inc. | Chiropractor | 5568 S Fort Apache Rd, Las Vegas, NV 89148-3602 | 2011-07-26 |
| 1811154131 | Matthew James Emmons | Chiropractor | 5568 S Fort Apache Rd, Las Vegas, NV 89148-3602 | 2008-05-22 |
| 1447425822 | Progressive Health Center of Nevada, LLC | Chiropractor | 5568 S Fort Apache Rd, Las Vegas, NV 89148-3602 | 2008-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1689280588 | Santos Nunez | Technician | 7950 Mcginnis Ave, Las Vegas, NV 89148 | 2020-09-17 |
| 1861007734 | Daniel D Forro | Occupational Therapist | 10164 Phelps Lake Ct, Las Vegas, NV 89148 | 2020-09-08 |
| 1568098309 | Moinca R Ponce | Dentist | 9450 West Russell Rd, Suite #103, Las Vegas, NV 89148 | 2020-03-12 |
| 1689214876 | Mama Dukes Healthcare Services LLC | Rehabilitation Counselor | 9908 Masterpeice Drive, Las Vegas, NV 89148 | 2020-01-15 |
| 1720621865 | Building Hope Nevada | Community/Behavioral Health | 8936 Spanish Ridge, Las Vegas, NV 89148 | 2019-10-22 |
| 1790343721 | Maretes Godinez | Case Manager/Care Coordinator | 6070 S Fort Apache Rd., Suite 110, Las Vegas, NV 89148 | 2019-06-04 |
| 1295393601 | United Medical Group Pllc | Pharmacist | 9205 W. Russell Road, Building 3, Ste 240, Las Vegas, NV 89148 | 2019-05-31 |
| 1609358886 | Jdr Dermatology Research, LLC. | Dermatology | 9080 W Post Rd Ste 100, Las Vegas, NV 89148 | 2018-09-04 |
| 1902393929 | Hogue Healing Health and Hope, Pllc Dba H3, Pllc | Social Worker | 9205 W. Russell Rd Ste 240 Bldg 3, Las Vegas, NV 89148 | 2018-04-16 |
| Find all providers in zip 89148 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133480 | Jasmine White | Massage Therapist | 3820 Celcius Pl, Las Vegas, NV 89129-6480 | 2020-10-27 |
| 1508465931 | Amber E Lloyd | Massage Therapist | 5855 Natures Dr, Las Vegas, NV 89122-6104 | 2020-10-17 |
| 1427656842 | Daniel Vasquez Vargas | Massage Therapist | 7509 Council Ave, Las Vegas, NV 89128-3253 | 2020-10-16 |
| 1134735020 | Walter Strickland | Massage Therapist | 5332 Danville Ln, Las Vegas, NV 89119-1154 | 2020-09-16 |
| 1962016923 | Nick Marte | Massage Therapist | 8321 W Sahara Ave 2057, Las Vegas, NV 89117 | 2020-09-06 |
| 1922612589 | Janae Preston | Massage Therapist | 5540 W Harmon Ave Apt 1005, Las Vegas, NV 89103-5123 | 2020-09-01 |
| 1427668920 | Kendell Gruendell | Massage Therapist | 690 Hermosa Palms Ave, Las Vegas, NV 89123-2314 | 2020-08-09 |
| 1093325532 | Shannon Yee | Massage Therapist | 4310 Sandy River Dr Unit 73, Las Vegas, NV 89103-6108 | 2020-08-07 |
| 1285244871 | Antyonett Christina Santana | Massage Therapist | 5415 W Harmon Ave Unit 1047, Las Vegas, NV 89103-7013 | 2020-08-07 |
| 1851917389 | Stacey Toomey | Massage Therapist | 3950 E Sunset Rd Ste 118, Las Vegas, NV 89120-4906 | 2020-06-20 |
| Find all providers in LAS VEGAS | ||||
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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.