Alexandria Ruidiaz

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

157 Green St
Boston, MA 02130-2667

Phone

(617) 524-1120

NPI assigned

Jul 26, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• North Shore Counseling Center Inc

  • Counselor
  • Beverly, MA
  • NPI 1023187366

  Multi-Specialty

  NPD (past)
• North Shore Counseling Center Inc

  • Mental Health Counselor
  • Beverly, MA
  • NPI 1194697482

  Multi-Specialty

  NPD (past)
• Vendetti Wellness Group, PC

  • Community/Behavioral Health Agency
  • Framingham, MA
  • NPI 1952836546

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1104507987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 WILLIAM T MORRISSEY BLVD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021223748",
            "telephone_number": "774-433-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 GREEN ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021302667",
            "telephone_number": "617-524-1120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Cummings Ctr Ste 307E",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019156107",
            "country_code": "US",
            "telephone_number": "978-922-2280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIDIAZ",
        "first_name": "ALEXANDRIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-26",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Glenn Ruffing, M.T.S., PH.D.
• Paul Andrew Rufo, M.D.
• Sophia Ruggier, PHARMD
• Jessica Ruggiero
• Gregory William Ruhnke, M.D.
• Luis E Ruisanchez-Gonzalez, MD
• Gabriela D. Ruiz Colon, MD
• Isabelle G Ruiz de Luzuriaga, LCSW
• Jorge Nicolas Ruiz Lopez, M.D.
• Andrea Melissa Ruiz Mojica

• All providers in Boston, MA
• Student in an Organized Health Care Education/Training Program in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.