Active NPI
Kimberly Kay Ruiz, FNP
- Family Nurse Practitioner
- Arlington, TX
National Provider Identifier
1134433063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 693642
- 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
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 693642 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nexphase Healthcare | Current | 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.
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- NPI 1083220024
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
-
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.