Active NPI
Ruby Malmquist
- Hearing Instrument Specialist
- Kenai, AK
National Provider Identifier
1114522851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 153761
- Practice address
- 805 Frontage Rd Ste 203
Kenai, AK 99611-9104 - Phone
- (907) 283-6262
- NPI assigned
- Dec 1, 2020
- Last updated
- Dec 1, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 153761 | AK | Primary |
Addresses
Primary practice location
805 Frontage Rd Ste 203
Kenai, AK 99611-9104
Mailing address
805 Frontage Rd Ste 203
Kenai, AK 99611-9104
Phone (907) 283-6262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167707 | Medicaid | AK |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Desktop | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153761 | AK | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northland Hearing Centers, Inc. | Current | Accepting new patients | |
| Northland Hearing Center, Inc. | Past | Accepting new patients |
Locations
805 Frontage Rd
Ste 203
Kenai, AK 99611
Phone (907) 283-6262
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hearing and Speech Clinic/Center
- Eden Prairie, MN
- NPI 1225070667
-
dba Alaska Hearing Aid Institute
- Hearing and Speech Clinic/Center
- Kenai, AK
- NPI 1407448210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1114522851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 FRONTAGE RD STE 203",
"city": "KENAI",
"state": "AK",
"postal_code": "996119104",
"telephone_number": "907-283-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 FRONTAGE RD STE 203",
"city": "KENAI",
"state": "AK",
"postal_code": "996119104",
"telephone_number": "907-283-6262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALMQUIST",
"first_name": "RUBY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "AK",
"license": "153761",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167707",
"state": "AK"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Desktop",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "805 Frontage Rd Ste 203",
"city": "Kenai",
"state": "AK",
"country_code": "US",
"postal_code": "996119104",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kenai, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.