Individual provider Active NPI

Ruth Kangethe, APRN

  • Family Nurse Practitioner
  • Ormond Beach, FL
National Provider Identifier
1093475659
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11017116 Issued in FL
Practice address
325 Clyde Morris Blvd Ste 340
Ormond Beach, FL 32174-3199
Phone
(386) 615-8971
NPI assigned
Dec 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 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 11017116 FL Primary

Addresses

Primary practice location

325 Clyde Morris Blvd Ste 340
Ormond Beach, FL 32174-3199

Mailing address

325 Clyde Morris Blvd
Ste 340
Ormond Beach, FL 32174-3199
Phone (386) 615-8971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220125000659 FL Practitioner - Nurse Practitioner 0648662601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health System Sunbelt IncGroup PAC ID 3274657721, 93 clinicians

Practice addresses (Care Compare)

35726 US Hwy 27 N
Haines City, FL 33844-3733
Phone (863) 419-2130

40219 Hwy 27 102
Adventist Health Primary Care and Davenport
Davenport, FL 33837-7813
Phone (863) 588-4806

4425 W 1St St
Sanford, FL 32771-9082
Phone (407) 915-0164

4451 W 1St St
Sanford, FL 32771-9082
Phone (407) 200-2300

4660 13TH St
Saint Cloud, FL 34769-6765
Phone (407) 200-2300

5830 W Irlo Bronson Memorial Hwy
Kissimmee, FL 34746-4718
Phone (407) 845-8378

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Adventhealth Heart of Florida Hospital, Davenport, FL, CCN 100137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11017116FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System Sunbelt Inc Family Current Accepting new patients
Kashyap Patel MD PA CurrentSince Jan 1, 2022 Accepting new patients
Adventist Health System/Sunbelt, Inc Family CurrentSince Feb 12, 2025 Accepting new patients
Adventist Health System/Sunbelt, Inc Family CurrentSince Feb 12, 2025 Accepting new patients
Volusia & Flagler OB-GYN PA Past Accepting new patients

Locations

598 Sterthaus Dr
#C
Ormond Beach, FL 32174
Phone (386) 672-9683

325 Clyde Morris Blvd
Ste 340
Ormond Beach, FL 32174
Phone (386) 212-3273

4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1093475659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CLYDE MORRIS BLVD",
            "address_2": "STE 340",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743199",
            "telephone_number": "386-615-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CLYDE MORRIS BLVD STE 340",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743199",
            "telephone_number": "386-615-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANGETHE",
        "first_name": "RUTH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11017116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.