Kelli Elizabeth Rugani, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2014034755 Issued in CA

Practice address

790 Tamalpais Ave
Novato, CA 94947-3940

Phone

(415) 250-6809

NPI assigned

Jun 10, 2015

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1083095566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 TAMALPAIS AVE",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473940",
            "telephone_number": "415-250-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 TAMALPAIS AVE",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473940",
            "telephone_number": "415-250-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGANI",
        "first_name": "KELLI",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "2014034755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY NURSE PRACTITIONER CERTIFICATION",
            "identifier": "2014034755",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elissa Roy
• Frederick Gene Rozendal, PH.D.
• Elsa Abigail Rubenstein
• Haylie Rubin
• Karee Rubinstein Wallach, MA, LCPC, LPCC
• Diego Joel Ruiz Madera
• Ashley Marie Rumayor, M.A., PPS
• George Clifford Rygg, MD
• S. Kwong DDS, a Professional Dental Corporation
• S. Ramteen Rafii, DDS, Dental Corp.

• Family Nurse Practitioner in Novato, CA
• Providers in Novato, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.