Active NPI
Loretta Jean Rust, RN
- Registered Nurse
- Fort Irwin, CA
National Provider Identifier
1134369580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 741547
- Practice address
- BLDG 172 Innerloop Street
Fort Irwin, CA 92310 - Phone
- (760) 380-3235
- NPI assigned
- Feb 25, 2009
- 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 | 741547 | CA | Primary |
Addresses
Primary practice location
BLDG 172 Innerloop Street
Fort Irwin, CA 92310
Mailing address
5029 Calico CT Apt B
Fort Irwin, CA 92310-2750
Phone (760) 380-6027
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 |
|---|---|---|---|
| 741547 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235520000000",
"number": "1134369580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5029 CALICO CT APT B",
"city": "FORT IRWIN",
"state": "CA",
"postal_code": "923102750",
"telephone_number": "760-380-6027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG 172 INNERLOOP STREET",
"city": "FORT IRWIN",
"state": "CA",
"postal_code": "92310",
"telephone_number": "760-380-3235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUST",
"first_name": "LORETTA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-25",
"last_updated": "2009-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "741547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Irwin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.