Individual provider Active NPI

Catherine Ruth, QMHP-A

  • Case Manager/Care Coordinator
  • Fairfax, VA
National Provider Identifier
1013515089
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
4113 Stevenson St
Fairfax, VA 22030-5617
Phone
(703) 460-6200
NPI assigned
Oct 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

4113 Stevenson St
Fairfax, VA 22030-5617

Mailing address

14150 Parkeast Cir Ste 200
Chantilly, VA 20151-4212
Phone (703) 449-6112

Other practice location 1

14150 Parkeast Cir Ste 200
Chantilly, VA 20151-4212
Phone (703) 449-6112

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address catherine.ruth@fairfaxcounty.gov Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfax County, Virginia CurrentSince Oct 19, 2020 Accepting new patients

Locations

4113 Stevenson St
Fairfax, VA 22030
Phone (703) 460-6200

14150 Parkeast Cir
Ste 200
Fairfax, VA 20151
Phone (703) 449-6114

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1013515089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14150 PARKEAST CIR STE 200",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201514212",
            "telephone_number": "703-449-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 STEVENSON ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305617",
            "telephone_number": "703-460-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14150 Parkeast Cir Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201514212",
            "country_code": "US",
            "telephone_number": "703-449-6112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTH",
        "first_name": "CATHERINE",
        "credential": "QMHP-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "catherine.ruth@fairfaxcounty.gov",
            "affiliation": "N",
            "endpointDescription": "Professional email address. Please encrypt all emails.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4113 Stevenson St",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220305617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.