Active NPI
Ruth Rudy, R.N
- Registered Nurse
- Fort Benning, GA
National Provider Identifier
1124128236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1-106968
- Practice address
- 7950 Martin Loop
Fort Benning, GA 31905-5647 - Phone
- (706) 544-1251
- NPI assigned
- Sep 25, 2006
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1-106968 | AL | Primary |
Addresses
Primary practice location
7950 Martin Loop
Fort Benning, GA 31905-5647
Mailing address
90 Fiddlers LN
Buena Vista, GA 31803-5240
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 |
|---|---|---|---|
| 1-106968 | AL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124128236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 FIDDLERS LN",
"city": "BUENA VISTA",
"state": "GA",
"postal_code": "318035240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7950 MARTIN LOOP",
"city": "FORT BENNING",
"state": "GA",
"postal_code": "319055647",
"telephone_number": "706-544-1251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDY",
"first_name": "RUTH",
"credential": "R.N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AL",
"license": "1-106968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Benning, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.