Kaitlin Mize Ruffin, CPNP-PC, RN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

259034 Issued in NC

Practice address

91 Enterprise Dr
Rocky Mount, NC 27804-9590

Phone

(252) 451-3100

Fax

(252) 937-3108

NPI assigned

Jul 5, 2017

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

Other identifiers 4

Other names 1

• Kaitlin Mize Former name

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmize107544@direct.medicine.duke.edu

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.

• Duke University Affiliated Physicians, Inc.

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1316975972
  Medicare reassignment NPD
• Duke University Affiliated Physicians, Inc.

  • Emergency Medicine Physician
  • Raleigh, NC
  • NPI 1710120795
  NPD
• Duke University Affiliated Physicians, Inc.

  • Family Medicine Physician
  • Durham, NC
  • NPI 1225073554
  NPD (past)

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1144741794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7755 ACC BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276178631",
            "telephone_number": "919-482-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 ENTERPRISE DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278049590",
            "telephone_number": "252-451-3100",
            "fax_number": "252-937-3108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "921 N Winstead Ave",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278048749",
            "country_code": "US",
            "telephone_number": "252-937-0300",
            "fax_number": "252-937-3106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Nash Medical Arts Mall",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278041400",
            "country_code": "US",
            "telephone_number": "252-451-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUFFIN",
        "first_name": "KAITLIN",
        "middle_name": "MIZE",
        "credential": "CPNP-PC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "259034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE",
            "identifier": "259034",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NCY234A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "19R06",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144741794",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "MIZE",
            "credential": "CPNP-PC, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ronald J Lowe DDS PA
• Rose of Sharon Mobile Phlebotomy Services
• Julie Ann Ross, MM, MT-BC
• Michael Edward Roth, MD
• Onica Royal
• Shwetha Rupendu
• S. Gibree, D.M.D., P.C.
• Safe Harbor Inc.
• Safe Haven Center
• Karen Marie Salacki, MSW

• Pediatric Nurse Practitioner in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.

Verify at the official NPI Registry.