Active NPI
Ruth Threlkeld, FNP
- Family Nurse Practitioner
- Hallsville, MO
National Provider Identifier
1134419799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2011001368
- Practice address
- 501 N Route B
Hallsville, MO 65255-9266 - Phone
- (573) 696-0500
- Fax
- (573) 696-0509
- NPI assigned
- Apr 15, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2011001368 | MO | Primary |
Addresses
Primary practice location
501 N Route B
Hallsville, MO 65255-9266
Mailing address
501 N Route B
Hallsville, MO 65255-9266
Phone (573) 696-0500
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302825600000",
"number": "1134419799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 N ROUTE B",
"city": "HALLSVILLE",
"state": "MO",
"postal_code": "652559266",
"telephone_number": "573-696-0500",
"fax_number": "573-696-0509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N ROUTE B",
"city": "HALLSVILLE",
"state": "MO",
"postal_code": "652559266",
"telephone_number": "573-696-0500",
"fax_number": "573-696-0509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THRELKELD",
"first_name": "RUTH",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-15",
"last_updated": "2011-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2011001368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hallsville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.