MS. MYTZI MARYANNE RUDOLPH (NPI# 1841625993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841625993 |
Entity Type | Individual |
Full Name | MS. MYTZI MARYANNE RUDOLPH |
Credential | R.N. |
Practice Address |
410 E 20th St Vancouver WA 98663-3316 |
Mailing Address |
2221 E St Vancouver WA 98663-3238 |
Practice Telephone | 3606906951 |
Mailing Telephone | 3606906951 |
Enumeration Date | 2013-09-09 |
Last Update Date | 2014-02-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163W00000X | Registered Nurse | RN00093629 | WA | Nursing Service Providers |
N | 163W00000X | Registered Nurse | 087000164RN | OR | Nursing Service Providers |
Street Address |
410 E 20TH ST |
City | VANCOUVER |
State | WA |
Zip Code | 98663-3316 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992724850 | Lisa Larae Stam | Massage Therapist | 410 E 20th St, Suite #7, Vancouver, WA 98663 | 2006-07-19 |
1851792519 | Jeremy Honsowetz | Counselor | 410 E 20th St, Vancouver, WA 98663-3316 | 2014-09-11 |
1164761201 | Joy E Batey | Massage Therapist | 410 E 20th St, Suite 6, Vancouver, WA 98663-3316 | 2013-02-09 |
1649535683 | Full Potential Occupational Therapy Pllc | Clinic/Center | 410 E 20th St, Vancouver, WA 98663-3316 | 2012-07-05 |
1033471651 | Linda Diane Johnson | Acupuncturist | 410 E 20th St, Arnada Clinic, Vancouver, WA 98663-3316 | 2012-06-10 |
1861627168 | Gaylene Angelos | Counselor | 410 E 20th St, Vancouver, WA 98663-3316 | 2009-05-16 |
1376704338 | Amanda Ragonesi | Psychologist | 410 E 20th St, Vancouver, WA 98663-3316 | 2008-06-23 |
1417137886 | Deborah Lee Goodwin | Specialist | 410 E 20th St, Vancouver, WA 98663-3316 | 2007-11-13 |
1275725368 | Mae Angela Marie Onosaki | Mechanotherapist | 410 E 20th St, Vancouver, WA 98663-3316 | 2007-08-13 |
1801004270 | Valerie Carla Kelly | Massage Therapist | 410 E 20th St, Vancouver, WA 98663-3316 | 2007-05-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053946673 | Jessica Maree Carnes | Dental Hygienist | 6505 Nw Cherry Street, Vancouver, WA 98663 | 2020-03-04 |
1598247207 | Kristine Marie Mcginley | Acupuncturist | 100 East 33rd St., Ste 203a, Vancouver, WA 98663 | 2018-08-30 |
1932689460 | Jennifer Fowler | Behavioral Analyst | 1901 Broadway St Apt 103, Vancouver, WA 98663 | 2018-08-15 |
1083109755 | Kallie A Wikman | Physical Therapist | 100 E 33rd St Ste 204, Vancouver, WA 98663 | 2018-06-26 |
1407344872 | Kyle Besaw | Student in an Organized Health Care Education/Training Program | 300 E 33rd St Ste 100, Vancouver, WA 98663 | 2018-05-01 |
1023521747 | Focal Clinic Inc | Counselor | 3305 Main St Ste 205, Vancouver, WA 98663 | 2017-11-16 |
1215455365 | Thirty Three Oaks, LLC | Skilled Nursing Facility | 400 E. 33rd St., Vancouver, WA 98663 | 2017-09-08 |
1174047690 | Douglas Gangat Uy | Counselor | 1610 C Street, Suite 102, Vancouver, WA 98663 | 2017-07-26 |
1699206243 | Maggie May Mcgraw | Social Worker | 410 E 20th Street, Vancouver, WA 98663 | 2017-03-24 |
1356740328 | Joseph Kelly | Dentist | 1008 Nw 59th St., Vancouver, WA 98663 | 2014-08-15 |
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Taxonomy Code | 163W00000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316544711 | Rachel Skiles | Registered Nurse | 11328 Ne 51st Cir Apt J96, Vancouver, WA 98682-1209 | 2020-10-08 |
1184230625 | Helen Trinidad Uy | Registered Nurse | 15814 Ne 72nd St., Vancouver, WA 98682 | 2020-09-21 |
1184235095 | Chandra Marie Zichterman | Registered Nurse | 8605 Ne 86th St, Vancouver, WA 98662-2452 | 2020-08-13 |
1548879083 | Trisha Ilene Uy Lee | Registered Nurse | 16307 Ne 81st St, Vancouver, WA 98682-3624 | 2020-07-30 |
1548883358 | Feliks Polyakov | Registered Nurse | 7117 Ne Fairway Ave, Vancouver, WA 98662-3691 | 2020-05-27 |
1396365912 | Chloe Raylene Altenburg | Registered Nurse | 306 W 35th St, Vancouver, WA 98660-1919 | 2020-04-23 |
1013540467 | Sherri Hanson | Registered Nurse | 1300 Columbia St Apt 407, Vancouver, WA 98660-2939 | 2020-02-13 |
1326687062 | Jennifer Jeanne Reisner | Registered Nurse | 5203 Nw Lincoln Ave, Vancouver, WA 98663-1537 | 2019-12-28 |
1639724594 | Melanie Rae Kingsbury | Registered Nurse | 3507 Ne 152nd Ave, Vancouver, WA 98682-7325 | 2019-08-07 |
1972158418 | Arleen Frances A Inhumang | Registered Nurse | 1709 Se 158th Ave, Vancouver, WA 98683-4633 | 2019-08-01 |
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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.