Ruby Tuesdae, RN, CEN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

95138166 Issued in CA

Practice address

4150 Clement St
San Francisco, CA 94121-1563

Phone

(415) 221-4810

NPI assigned

Dec 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Samanth Jody Ely Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1063125896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4297 ATLAS AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946191631",
            "telephone_number": "831-359-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 CLEMENT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941211563",
            "telephone_number": "415-221-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUESDAE",
        "first_name": "RUBY",
        "credential": "RN, CEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-26",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "CA",
            "license": "95138166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTH",
            "last_name": "ELY",
            "middle_name": "JODY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Princess Tucker
• Samuel Brian Tucker, M.D.
• Tamara M Tucker, MFT
• Zena Sylvia Tucker, MFT
• Antonio G. Tudisco, A.P.T.
• Michael Aneli Tufaga, M.D.
• Lucia R Tuffanelli, MD
• Melissa Tuft, D.D.S.
• Madina Tugizova
• Linda C Tuimavave

• Emergency Registered Nurse in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Emergency Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; 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.