AMANDA B RUDOLPH CPNP
NPI 1043452972
Nurse Practitioner - Pediatrics in Kaufman, TX

Active since March 24, 2009
1011 W GROVE ST STE 120, KAUFMAN, TX 75142(972) 932-1319(972) 932-1396 Get Directions Write a Review

NPPES record last updated: April 16, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda B Rudolph Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA B RUDOLPH CPNP (NPI 1043452972) is an individual pediatrics provider in Kaufman, Texas, licensed in Texas (162093) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1043452972
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameAMANDA B RUDOLPHCredential: CPNP
Location Address1011 W GROVE ST STE 120Kaufman, TX 75142-1883
Mailing Address4901 Veterans Memorial BlvdMetairie, LA 70006-5210 · (504) 887-1133
Fax(972) 932-1396
Sole ProprietorNo
Enumeration DateMarch 24, 2009
Last NPPES UpdateApril 16, 2014
NPI 1043452972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in TX · 162093
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP05388 (LA)
1011 W GROVE ST STE 120, Kaufman, TX 75142

Other Identifiers 3

Medicaid1552992LA
Medicare PIN3B061LA
Medicaid09079528MS

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
1011 W GROVE ST STE 120
KAUFMAN, TX 75142
Nurse Practitioner (Family)
1011 W GROVE ST STE 120
KAUFMAN, TX 75142
Nurse Practitioner (Family)
1011 W GROVE ST STE 120
KAUFMAN, TX 75142

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Rudolph's NPI number?

The NPI number for Amanda Rudolph is 1043452972. It was assigned to this individual provider in the NPPES registry on March 24, 2009.

Where is Amanda Rudolph located?

Amanda Rudolph practices at 1011 W Grove St Ste 120, Kaufman, TX 75142. The listed phone number is (972) 932-1319.

What is Amanda Rudolph's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Amanda Rudolph was last updated on April 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.