MS. LISA RUDOLPH (NPI# 1285838581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285838581 |
| Entity Type | Individual |
| Full Name | MS. LISA RUDOLPH |
| Credential | CNS |
| Practice Address |
1000 North Lee Oklahoma City OK 73101-1036 |
| Mailing Address |
2105 Del Simmons Dr Edmond OK 73003-2411 |
| Practice Telephone | 4052726368 |
| Mailing Telephone | 4053151222 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2100X |
Clinical Nurse Specialist Specialization: Acute Care |
38393 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487105714 | Lisa Rudolph | Nurse Practitioner | 444 Norwood Ave, Apt 2, Buffalo, NY 14222-1560 | 2016-10-21 |
| 1871804658 | Lisa Dawn Rudolph | Licensed Practical Nurse | 2937 Alaskan Ave, Billings, MT 59101-6851 | 2010-06-28 |
| 1225389760 | Lisa Lynn Rudolph | Occupational Therapy Assistant | 230 W Galbraith Rd, Cincinnati, OH 45215-5223 | 2012-09-24 |
| 1093031742 | Lisa Marie Rudolph | Dentist | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2010-04-19 |
| Street Address |
1000 NORTH LEE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73101-1036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205048337 | Saints Medical Group, LLC | Hospitalist | 1000 N. Lee Ave, Room 1921, Oklahoma City, OK 73101 | 2007-05-03 |
| 1437480100 | Chelsea Church | Pharmacist | 1000 N. Lee, St. Anthony Hospital, Oklahoma City, OK 73101 | 2010-01-20 |
| 1831427558 | St. Anthony Hospital, Ssmhc | General Acute Care Hospital | 1000 N Lee Ave, Oklahoma City, OK 73101 | 2009-11-19 |
| 1831301746 | Child Abuse Response and Evaluation, Inc. | Counselor | 1403 Ashton Pl., Oklahoma City, OK 73101-1125 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043044 | Marielle Crowell | Student in an Organized Health Care Education/Training Program | 700 Nw 51st St, Oklahoma City, OK 73118-6216 | 2020-11-08 |
| 1952902736 | Brandon Talaro Schmidt | Student in an Organized Health Care Education/Training Program | 100 Ne 4th St Apt 2305, Oklahoma City, OK 73104-2009 | 2020-11-06 |
| 1710588694 | Hayden Mackenzie Bryan | Student in an Organized Health Care Education/Training Program | 1425 Nw 29th St, Oklahoma City, OK 73106-3433 | 2020-11-05 |
| 1669073623 | Keonte Criswell | Community/Behavioral Health | 11530 Andover Ct, Oklahoma City, OK 73130-8217 | 2020-11-05 |
| 1548861560 | Cruz Mccarty | Student in an Organized Health Care Education/Training Program | 101 Ne 53rd St Apt 3311, Oklahoma City, OK 73105-1892 | 2020-11-05 |
| 1508467994 | Yenth Matilde Chaidez | Case Manager/Care Coordinator | 10409 Casa Linda, Oklahoma City, OK 73139-5510 | 2020-11-03 |
| 1700487147 | Zackery R Devine | Physical Medicine & Rehabilitation | 1029 Ne 6th St Apt 331, Oklahoma City, OK 73117-1459 | 2020-11-03 |
| 1063013530 | Thomas Labarthe | Student in an Organized Health Care Education/Training Program | 2833 Nw 67th St, Oklahoma City, OK 73116-4612 | 2020-11-02 |
| 1144821604 | Body Smart Physio LLC | Clinic/Center | 1745a Nw 16th St Ste A, Oklahoma City, OK 73106-2067 | 2020-11-02 |
| 1760082523 | Alimot Shadia L Karim | Case Manager/Care Coordinator | 1330 N Classen Blvd Ste 314, Oklahoma City, OK 73106-6834 | 2020-10-29 |
| Find all providers in OKLAHOMA CITY | ||||
| Taxonomy Code | 364SA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164050258 | Regina M Ketts | Clinical Nurse Specialist | 700 Ne 13th St, Oklahoma City, OK 73104-5004 | 2020-04-01 |
| 1518591122 | Lauren Amber Dankwa | Clinical Nurse Specialist | 700 Ne 13th St, Oklahoma City, OK 73104-5004 | 2020-02-24 |
| 1477193217 | Tamara Myree Harris | Clinical Nurse Specialist | 3400 Nw Expressway Ste 200, Oklahoma City, OK 73112-4491 | 2020-01-09 |
| 1053968719 | Shanelle Stensaas | Clinical Nurse Specialist | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2019-08-19 |
| 1063065845 | Leighann Fullagar | Clinical Nurse Specialist | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2019-07-19 |
| 1124512686 | Deborah Peter | Clinical Nurse Specialist | 5224 E I 240 Service Rd, Oklahoma City, OK 73135-2607 | 2018-06-19 |
| 1710401559 | Ancy Susan Varughese | Clinical Nurse Specialist | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2017-08-02 |
| 1588023519 | Terri Lynn Plunk | Clinical Nurse Specialist | 700 Ne 13th St, Oklahoma City, OK 73104-5004 | 2016-02-18 |
| 1649646159 | Terrie Lynn Kiker | Clinical Nurse Specialist | 3366 Nw Expressway, Suite 200, Oklahoma City, OK 73112-4462 | 2015-08-19 |
| 1154707131 | Renee Gudgel | Clinical Nurse Specialist | 701 N Broadway Ave, Suite 430, Oklahoma City, OK 73102-6006 | 2015-07-31 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73101 |
Please comment or provide details below to improve the information on MS. LISA RUDOLPH.
| 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.