Individual provider Active NPI

Ruth Ann Rainone, RN

  • Registered Nurse
  • Mastic, NY
National Provider Identifier
1104196013
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
706179 Issued in NY
Practice address
170 Mastic Blvd
Mastic, NY 11950
Phone
(631) 399-5647
NPI assigned
Jan 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 706179 NY Primary
Licensed Practical Nurse 164W00000X 296745 NY

Addresses

Primary practice location

170 Mastic Blvd
Mastic, NY 11950

Mailing address

170 Mastic Blvd
Mastic, NY 11950-3317
Phone (631) 399-5647

Other names 1

  • Ruth McElhenny Rainone Other name

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
706179NYMDRegistered Nurse
296745NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1104196013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MASTIC BLVD",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119503317",
            "telephone_number": "631-399-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MASTIC BLVD",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "11950",
            "telephone_number": "631-399-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINONE",
        "first_name": "RUTH",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-09",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "706179",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "296745",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "RAINONE",
            "middle_name": "MCELHENNY",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mastic, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.