Individual provider Active NPI

Joanne Rose Ruggeri, FNP

  • Family Nurse Practitioner
  • Woonsocket, RI
National Provider Identifier
1023007481
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17977 Issued in MA
Practice address
One
CVS Drive
Woonsocket, RI 02895
Phone
(866) 389-2727
NPI assigned
Oct 18, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 17977 MA Primary

Addresses

Primary practice location

One
CVS Drive
Woonsocket, RI 02895

Mailing address

1 CVS Dr
Woonsocket, RI 02895-6146

Other practice location 1

51st Aerospace Medical Squadron/Health & Wellness
1419 Broadway Blvd
Osan AB, Republic of Korea (ROK) APO AP 962782060
KR
Phone 01182316614292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, AK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210211001092 MA Practitioner - Nurse Practitioner 8123433893 Reassigns benefits to 1 organization
I20230321002270 AK Practitioner - Nurse Practitioner 8123433893 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Altair Integrative Wellness Family CurrentSince May 29, 2025 Accepting new patients
Signify Health, LLC CurrentSince Mar 1, 2023 Accepting new patients
Altair Chiropractic, LLC PastSince May 29, 2025 Accepting new patients

Locations

247 S Alaska St
Palmer, AK 99645
Phone (907) 215-2353

892 E USA Cir
Ste 108
Wasilla, AK 99654
Phone (907) 357-1818

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 4

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1023007481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE",
            "address_2": "CVS DRIVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "02895",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51st Aerospace Medical Squadron/Health & Wellness",
            "address_2": "1419 Broadway Blvd",
            "address_purpose": "LOCATION",
            "city": "Osan AB",
            "state": "Republic of Korea (ROK)",
            "postal_code": "APO AP 962782060",
            "country_code": "KR",
            "telephone_number": "01182316614292",
            "fax_number": "01182316613205",
            "country_name": "Korea, Republic of",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "RUGGERI",
        "first_name": "JOANNE",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2022-07-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "17977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.