Ruth Penno, FNP-C, CDE

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP3697 Issued in AZ

Practice address

19829 N 27TH Ave
Phoenix, AZ 85027-4001

Phone

(623) 879-1889

Fax

(623) 879-5266

NPI assigned

Nov 8, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• District Medical Group, Inc

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1295968162
  NPD (past)
• Honorhealth Ambulatory

  • Cardiovascular Disease Physician
  • Scottsdale, AZ
  • NPI 1275833915
  NPD (past)
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1144521196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17779",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852697779",
            "telephone_number": "480-789-7890",
            "fax_number": "480-789-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19829 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274001",
            "telephone_number": "623-879-1889",
            "fax_number": "623-879-5266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16240 N Fort McDowell Rd",
            "address_purpose": "LOCATION",
            "city": "Fort McDowell",
            "state": "AZ",
            "postal_code": "852643402",
            "country_code": "US",
            "telephone_number": "480-789-7890 x7887",
            "fax_number": "480-789-7894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENNO",
        "first_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Jamison Penniman, MSW, LISAC, CADAC
• Cristen E Pennington, LMFT
• Joseph Pennington, PHARMD
• Carlos Pennix
• Lashonia Shasherah Pennix
• Penny Chiropractic, PLC
• Ryan Wells Penrod, PA-C
• Tim Penrod, LMFT
• Stephanie Marie Penton, MD
• Timothy Penton

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.