Melanie Fulton Ruiz, NP

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

AP143267 Issued in TX

Practice address

609 S Main St
Boerne, TX 78006-2639

Phone

(210) 687-1110

Fax

(210) 697-1118

NPI assigned

Jul 27, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Melanie Fulton Ruiz Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1154094175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 S MAIN ST",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062639",
            "telephone_number": "210-687-1110",
            "fax_number": "210-687-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 S MAIN ST",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062639",
            "telephone_number": "210-687-1110",
            "fax_number": "210-697-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "MELANIE",
        "middle_name": "FULTON",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": "AP143267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "RUIZ",
            "middle_name": "FULTON",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kathleen Curry Rowe-Parker, LMFT
• Virginia Rowland, MS CCC SLP
• Roy Maas' Youth Alternatives, Inc.
• Dianne M Rudolph, NP
• Aimee Elizabeth Ruiz
• Vivian Elizabeth Rule, PT
• Shannon Runion
• Michael Ryan, MSN, APRN, FNP-C
• William John Ryan, MD
• Sujey Saavedra, LVN

• Procedural Dermatology Physician in Boerne, TX
• Providers in Boerne, TX by specialty
• Procedural Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.