Active NPI
Jaime A Ruiz, RN
- Registered Nurse
- Scranton, PA
National Provider Identifier
1114739091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN713065
- Practice address
- 3 W Olive St
Scranton, PA 18508-2572 - Phone
- (570) 575-7864
- NPI assigned
- Jan 27, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN713065 | PA | Primary |
Addresses
Primary practice location
3 W Olive St
Scranton, PA 18508-2572
Mailing address
PO Box 3091
Scranton, PA 18505-0091
Phone (570) 575-7864
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN713065 | PA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1114739091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3091",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185050091",
"telephone_number": "570-575-7864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 W OLIVE ST",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185082572",
"telephone_number": "570-575-7864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "JAIME",
"middle_name": "A",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-27",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN713065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.