Individual provider Active NPI

Kimberly Kay Ruiz, FNP

  • Family Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1134433063
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
693642 Issued in TX
Practice address
400 W Arbrook Blvd Ste 300
Arlington, TX 76014-3180
Phone
(972) 647-8404
Fax
(972) 641-8398
NPI assigned
Aug 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 693642 TX Primary

Addresses

Primary practice location

400 W Arbrook Blvd Ste 300
Arlington, TX 76014-3180

Mailing address

400 W Arbrook Blvd Ste 300
Arlington, TX 76014-3180
Phone (972) 647-8404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110601000306 TX Practitioner - Nurse Practitioner 9133306004 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
693642TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nexphase Healthcare CurrentSince Apr 13, 2023 Accepting new patients
Texas Health Physicians Group Past Accepting new patients
Texas Health Physicians Group Past Accepting new patients

Locations

2401 Callender Rd
Ste 109
Mansfield, TX 76063
Phone (682) 253-2130

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1134433063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W ARBROOK BLVD STE 300",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143180",
            "telephone_number": "972-647-8404",
            "fax_number": "972-641-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W ARBROOK BLVD STE 300",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143180",
            "telephone_number": "972-647-8404",
            "fax_number": "972-641-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "693642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.