KERRI RUDDELL NP NPI 1174183578

NPI Information

  • NPI: 1174183578
  • Provider Name: KERRI RUDDELL, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 502 E AMENDE DR
    ODESSA, WA
    ZIP 99159
  • Phone: (509) 982-2611

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NPI Details

Kerri Ruddell, NP is a family nurse practitioner in Odessa, WA with 7 years of experience. Kerri Ruddell, NP NPI is 1174183578. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

502 E AMENDE DR
ODESSA, WA
ZIP 99159-003
Phone: (509) 982-2611

The NPI 1174183578 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg (HCPCS:J7320)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Review by radiologist of knee joint image (HCPCS:73580)
  • Hemoglobin a1c level (HCPCS:83036)
  • Injection of contrast for imaging of knee joint (HCPCS:27369)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Testing of autonomic nervous system function and heart rate response to deep breathing (HCPCS:95921)
  • Testing of autonomic (sympathetic) nervous system function (HCPCS:95923)

The enumeration date for this NPI number is 6/18/2019 and was last updated on 9/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily61858IDAHONo
2363LF0000XNurse PractitionerFamilyAP61469089WASHINGTONYes
3363LF0000XNurse PractitionerFamilyNP61858IDAHONo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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