Active NPI
Susan Michelle Ruday, MSN, RN
- Home Health Registered Nurse
- St Augustine, FL
National Provider Identifier
1124859566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RN9618483
- Practice address
- 100 Deerfield Preserve Blvd
St Augustine, FL 32086-5966 - Phone
- (904) 829-0814
- NPI assigned
- Aug 8, 2024
- 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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN9618483 | FL | Primary |
Addresses
Primary practice location
100 Deerfield Preserve Blvd
St Augustine, FL 32086-5966
Mailing address
100 Deerfield Preserve Blvd
St Augustine, FL 32086-5966
Phone (904) 829-0814
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
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9618483 | FL | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1124859566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 DEERFIELD PRESERVE BLVD",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320865966",
"telephone_number": "904-829-0814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DEERFIELD PRESERVE BLVD",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320865966",
"telephone_number": "904-829-0814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDAY",
"first_name": "SUSAN",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "MSN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-08",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "FL",
"license": "RN9618483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.