Individual provider Active NPI

Ruth Janice Gimenez, APRN FNP-C

  • Family Nurse Practitioner
  • Saint Cloud, FL
National Provider Identifier
1104695071
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11030220 Issued in FL
Practice address
2090 Old Hickory Tree Rd Ste 107
Saint Cloud, FL 34772-8901
Phone
(689) 588-5588
NPI assigned
Dec 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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 RN9304243 FL
Family Nurse Practitioner 363LF0000X APRN11030220 FL Primary

Addresses

Primary practice location

2090 Old Hickory Tree Rd Ste 107
Saint Cloud, FL 34772-8901

Mailing address

2090 Old Hickory Tree Rd Ste 107
Saint Cloud, FL 34772-8901
Phone (689) 588-5588

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
I20240320001083 FL Practitioner - Nurse Practitioner 3072950591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Gastroenterology Institute of Orlando LLCGroup PAC ID 1355619586, 6 clinicians

Practice addresses (Care Compare)

812 W Oak St
Kissimmee, FL 34741-6625
Phone (407) 201-3686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9304243FLMDRegistered Nurse
APRN11030220FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Local Specialty Care, Inc CurrentSince Sep 2, 2025 Accepting new patients

Locations

4855 W Hillsboro Blvd
Ste B2
Coconut Creek, FL 33073
Phone (954) 418-1683

2050 Old Hickory Tree Rd
Unit E
Saint Cloud, FL 34772
Phone (689) 588-5588

2090 Old Hickory Tree Rd
Ste 107
Saint Cloud, FL 34772
Phone (407) 593-1273

2879 N Narcoossee Rd
Saint Cloud, FL 34771
Phone (689) 588-5588

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEACBD/Endpoint/CEACBD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1104695071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 OLD HICKORY TREE RD STE 107",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347728901",
            "telephone_number": "689-588-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 OLD HICKORY TREE RD STE 107",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347728901",
            "telephone_number": "689-588-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMENEZ",
        "first_name": "RUTH",
        "middle_name": "JANICE",
        "credential": "APRN FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-20",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9304243",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11030220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

Verify at the official NPI Registry.