Active NPI
Jamie Ann Ruggles, RN
- Pain Medicine Physician
- Des Moines, IA
National Provider Identifier
1124728233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 092354
- Practice address
- 3600 30TH St
Des Moines, IA 50310-5753 - Phone
- (515) 699-5999
- Fax
- (515) 699-5638
- NPI assigned
- Mar 7, 2023
- 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 |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 092354 | IA | Primary |
Addresses
Primary practice location
3600 30TH St
Des Moines, IA 50310-5753
Mailing address
3600 30TH St
Des Moines, IA 50310-5753
Phone (515) 699-5999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092354 | Other | IA | RN |
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 |
|---|---|---|---|
| 092354 | IA | MD | Pain Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1124728233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 30TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503105753",
"telephone_number": "515-699-5999",
"fax_number": "515-699-5638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 30TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503105753",
"telephone_number": "515-699-5999",
"fax_number": "515-699-5638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUGGLES",
"first_name": "JAMIE",
"middle_name": "ANN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-07",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "IA",
"license": "092354",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "092354",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.