Ruby Slippers Wellness

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

RUBY SLIPPERS WELLNESS

Practice address

581 W 17TH Ave
Eugene, OR 97401-3816

Phone

(541) 497-3885

Fax

(844) 517-6506

NPI assigned

Feb 13, 2017

Organization subpart

No

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

Authorized official

Name

Lynae Adrien Smith, RDNPI 1164748000

Title

Owner

Phone

(541) 497-3885

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Ruby Health and Wellness Doing business as
• The Well-Bean Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynae Adrien Smith, R.D., LD

  • Registered Dietitian
  • Eugene, OR
  • NPI 1164748000

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1144769993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 W 17TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013816",
            "telephone_number": "541-497-3885",
            "fax_number": "844-517-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 W 17TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013816",
            "telephone_number": "541-497-3885",
            "fax_number": "844-517-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBY SLIPPERS WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LYNAE",
        "authorized_official_middle_name": "ADRIEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-497-3885",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500726016",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ruby Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Well-Bean",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Dana Kathryn Rubin, PA-C
• Rachel Beth Rubin, LAC
• Cristofer Ouro Rubini, L.M.T.
• Lia Jacqueline Rubino, MS
• Daniell Ananda Rubio, LMT
• Shelley Anne Ruch, LMT CCN
• Jim Everett Ruckman, JIM RUCKMAN D.M.D.
• Elizabeth Jane Rudd
• Hope Ruddell, R.N.
• Mary Elizabeth Ruddick, CNC

• Registered Dietitian in Eugene, OR
• Providers in Eugene, OR by specialty
• Registered Dietitian in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.