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MRS. LISA MARIE RUDY IDC
NPI 1518173442
Military Health Care Provider - Independent Duty Corpsman in Fpo, AP

Active since May 15, 2007
PSC 475 BOX 1, FPO, AP 96350 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Lisa Marie Rudy Idc NPPES

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

MRS. LISA MARIE RUDY IDC (NPI 1518173442) is an individual independent duty corpsman provider in Fpo, AP and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1518173442
Entity TypeIndividualFemale
Primary Taxonomy1710I1002X
Provider Legal NameMRS. LISA MARIE RUDYCredential: IDC
Location AddressPSC 475 BOX 1Fpo, AP 96350
Mailing AddressPsc 475 Box 1693Fpo, AP 96350 · (518) 831-9056
Phone01181468165122
Sole ProprietorYes
Enumeration DateMay 15, 2007
Last NPPES UpdateApril 20, 2008
✔ NPI 1518173442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

Other Providers at the Same Location NPPES 20

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

DR. ANTHONY JAMES MARIN D.D.S.
Dentist (Endodontics)
PSC 475 BOX 1
FPO, AP 96350
(315) 243-5069
JASON PAUL JENSEN OTR/L, CHT
Occupational Therapist
PSC 475 BOX 1
FPO, AP 96350
(315) 243-5348
ANDREA L HAYES MSH, RD/RN
Dietitian, Registered
PSC 475 BOX 1
FPO, AP 96350
(315) 243-8658
MR. SAMUEL FOSTER OT
Occupational Therapist
PSC 475 BOX 1
FPO, AP 96350
(315) 253-4562
KIRSTEN LEANNE SANDOVAL
Occupational Therapist
PSC 475 BOX 1
FPO, AP 96350
(818) 277-9111
DR. MIRIAM BEHPOUR DMD
Dentist (General Practice)
PSC 475 BOX 1
FPO, AP 96350
(315) 243-7144
PHILIP DEAN PETERSON MD
Pathology (Anatomic Pathology & Clinical Pathology)
PSC 475 BOX 1
FPO, AP 96350
(315) 243-8560
JON STOCKTON MD, MPHIL
Anesthesiology
PSC 475 BOX 1
FPO, AP 96350
(303) 898-0208

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 Lisa Rudy's NPI number?

The NPI number for Lisa Rudy is 1518173442. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Lisa Rudy located?

Lisa Rudy practices at Psc 475 Box 1, Fpo, AP 96350.

What is Lisa Rudy's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Lisa Rudy was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.