LACEY M. RUDICK


Address: 3333 Burnet Avenue, Mlc 3014, Cincinnati, OH 45229-3026
Phone: 5136364788

LACEY M. RUDICK (NPI# 1316566656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316566656
Entity Type Individual
Full Name LACEY M. RUDICK
Other Name LACEY MICHELLE BAKER
Practice Address 3333 Burnet Avenue
Mlc 3014
Cincinnati
OH 45229-3026
Practice Telephone 5136364788
Practice Fax Number 5136364283
Mailing Telephone 5136364788
Mailing Fax Number 5136364283
Enumeration Date 2020-04-15
Last Update Date 2020-08-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner APRN.CNP.0026973 OH Physician Assistants & Advanced Practice Nursing Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
5642 Hamilton Ave, Cincinnati, OH 452243114 5136360800

Office Location

Street Address 3333 BURNET AVENUE
MLC 3014
City CINCINNATI
State OH
Zip Code 45229-3026

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346241403 Linn M Mangano Ophthalmology 3333 Burnet Avenue, Ml 4008, Cincinnati, OH 45229-3026 2005-08-10
1326669904 Krishawnda Janelle Allen Nurse Practitioner 3333 Burnet Avenue, Mlc 6015, Cincinnati, OH 45229-3026 2020-05-05
1407485220 Timothy Thanh Nguyen Student in an Organized Health Care Education/Training Program 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229-3039 2020-04-03
1457980245 Katherine Lura Harsh Student in an Organized Health Care Education/Training Program 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229-3039 2020-04-03
1407484660 Kiran Neha Bandi Student in an Organized Health Care Education/Training Program 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229-3039 2020-03-31
1275161424 Manroop Kaur Gill Student in an Organized Health Care Education/Training Program 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229-3039 2020-03-31
1538797113 Andrew John Thomas Student in an Organized Health Care Education/Training Program 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229-3039 2020-03-30
1356979850 Matthew Alexander Hapstack Student in an Organized Health Care Education/Training Program 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229-3039 2020-03-30
1073141776 Madeline Leigh Weber Student in an Organized Health Care Education/Training Program 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229 2020-03-29
1851929764 Daniel Nathan Beauchamp Student in an Organized Health Care Education/Training Program 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229-3039 2020-03-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992325567 The Kroger Co Pharmacy 3255 Eden Ave, Suite 336, Cincinnati, OH 45229 2020-04-23
1942834916 Abigail Elizabeth Ugas Genetic Counselor, MS 3333 Burnet Ave., Ml 4006, Cincinnati, OH 45229 2020-02-27
1477112308 City of Cincinnati Pharmacy 3559 Reading Road, Suite 101, Cincinnati, OH 45229 2019-06-13
1720548134 Luis Andres Compres Brugal Student in an Organized Health Care Education/Training Program Uc Health Neurology 3113 Bellevue Avenue, Cincinnati, OH 45229 2019-03-21
1457816118 Linda Sue Hughes Counselor 4531 Reading Road, Cincinnati, OH 45229 2019-02-07
1437654902 Dimpal Patel Physician Assistant 3333 Burnet Ave # Mlc2004, Cincinnati, OH 45229 2018-03-27
1235657909 Shauntel Stewart Nurse's Aide 4439 Reading Rd Ste 101, Cincinnati, OH 45229 2017-09-01
1336662055 Diane Davis Home Health Aide 768 East Mitchell Ave, Cincinnati, OH 45229 2017-07-25
1265971683 Lauren Michelle Schmitt Psychologist 3333 Burnet Ave., Ml 4002, Cincinnati, OH 45229 2017-02-17
1801257308 Monica Renee Whitehead Psychologist Cincinnati Children's Hospital, 3333 Burnet Avenue, Ml 3015, Cincinnati, OH 45229 2016-03-10
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083236624 Payal Patel Nurse Practitioner 737 Regent Rd, Cincinnati, OH 45245-1653 2020-05-16
1437771458 Kayla Semon Nurse Practitioner 1522 Madison Rd Apt 3, Cincinnati, OH 45206-1700 2020-05-13
1104448653 Brian Patrick Berendts Nurse Practitioner 3333 Burnet Ave Ml3014, Psychiatry, Cincinnati, OH 45229-3026 2020-05-07
1487280483 Bridgette Hull Nurse Practitioner 9505 Montgomery Rd Ste 201, Cincinnati, OH 45242-7248 2020-03-21
1194363887 Shannon Brown Nurse Practitioner 3333 Burnet Ave # Mlc1013, Cincinnati, OH 45229-3026 2019-12-13
1083256291 Amanda Lynn Fantino Nurse Practitioner 8250 Kenwood Crossing Way Ste 225, Cincinnati, OH 45236-3670 2019-10-09
1528618444 Subi Healthcare Services LLC Nurse Practitioner 4124 Durhams Xing, Cincinnati, OH 45245-1759 2019-09-12
1265084818 Hannah Dierksheide Nurse Practitioner 959b Paradrome St, Cincinnati, OH 45202-1527 2019-07-14
1124681895 Amanda Elsen Nurse Practitioner 2139 Auburn Ave Ste C920b, Cincinnati, OH 45219-2989 2019-04-18
1982166229 Anne Garvin Nurse Practitioner 3110 Vine St, Cincinnati, OH 45219-2068 2019-04-04
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Competitor

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City CINCINNATI
Zip Code 45229

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Dataset Information

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.

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