Active NPI
Tasha Ruffin
- Acute Care Nurse Practitioner
- Portland, TN
National Provider Identifier
1083438568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 37607
- Practice address
- 215 Highland Circle Dr
Portland, TN 37148-4918 - Phone
- (615) 325-9263
- NPI assigned
- Nov 12, 2024
- Last updated
- Nov 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 37607 | TN | Primary |
Addresses
Primary practice location
215 Highland Circle Dr
Portland, TN 37148-4918
Mailing address
617 Coles Ferry Rd
Gallatin, TN 37066-6218
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37607 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipc Pac Healthcare Services of Tennessee PC | Current | Accepting new patients | |
| CS Pacs 3 Southeast, LLC | Current | Accepting new patients | |
| BH Services Southeast 1 PC | Current | Accepting new patients | |
| NV Pacs 2 LLC | Current | Accepting new patients |
Locations
18 N Cavalier Dr
Alamo, TN 38001
Phone (731) 696-4500
880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669
215 Highland Circle Dr
Portland, TN 37148
Phone (615) 325-9263
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1083438568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 COLES FERRY RD",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370666218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 HIGHLAND CIRCLE DR",
"city": "PORTLAND",
"state": "TN",
"postal_code": "371484918",
"telephone_number": "615-325-9263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUFFIN",
"first_name": "TASHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-12",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TN",
"license": "37607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.