Active NPI
Ruth Claire Black, MSN, ANP
- Medical-Surgical Clinical Nurse Specialist
- Garland, TX
National Provider Identifier
1063446367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Clinical Nurse Specialist
- License
- 519697
- Practice address
- 800 N Shiloh Rd
Garland, TX 75042-5716 - Phone
- (972) 487-5444
- Fax
- (972) 485-3056
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Clinical Nurse Specialist | 364SM0705X | 519697 | TX | Primary |
Addresses
Primary practice location
800 N Shiloh Rd
Garland, TX 75042-5716
Mailing address
800 N Shiloh Rd
Garland, TX 75042-5716
Phone (972) 487-5444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143931702 | Medicaid | TX |
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
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 519697 | TX | MD | Medical-Surgical Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266883200000",
"number": "1063446367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 N SHILOH RD",
"city": "GARLAND",
"state": "TX",
"postal_code": "750425716",
"telephone_number": "972-487-5444",
"fax_number": "972-485-3056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N SHILOH RD",
"city": "GARLAND",
"state": "TX",
"postal_code": "750425716",
"telephone_number": "972-487-5444",
"fax_number": "972-485-3056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "RUTH",
"middle_name": "CLAIRE",
"credential": "MSN, ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2010-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "364SM0705X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Medical-Surgical",
"state": "TX",
"license": "519697",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143931702",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.