Individual provider Active NPI

Ruth C. Taggart, NP

  • Nurse Practitioner
  • Beloit, WI
National Provider Identifier
1154520195
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9116-33 Issued in WI
Practice address
Beloit Memorial Hospital
1969 W. Hart Road
Beloit, WI 53511-2230
Phone
(608) 363-5971
Fax
(608) 363-5737
NPI assigned
Jul 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 105339 CO
Nurse Practitioner 363L00000X 209-018593 IL
Adult Health Nurse Practitioner 363LA2200X 209.018593 IL
Nurse Practitioner 363L00000X 9116-33 WI Primary

Addresses

Primary practice location

Beloit Memorial Hospital
1969 W. Hart Road
Beloit, WI 53511-2230

Mailing address

Beloit Health System Inc.
1905 E. Huebbe Parkway
Beloit, WI 53511-1842
Phone (608) 364-2293

Other practice location 1

7978 Newburg Rd
Rockford, IL 61108-6927
Phone (303) 968-4260

Other practice location 2

8104 Sayer Rd
Rockford, IL 61108
Phone (303) 968-4260

Other identifiers 1

IdentifierTypeStateIssuer
100086324MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209-018593ILMDNurse Practitioner
105339COMDAdult Health Nurse Practitioner
209.018593ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services Neurosciences LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1154520195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BELOIT HEALTH SYSTEM INC.",
            "address_2": "1905 E. HUEBBE PARKWAY",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111842",
            "telephone_number": "608-364-2293",
            "fax_number": "608-364-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BELOIT MEMORIAL HOSPITAL",
            "address_2": "1969 W. HART ROAD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112230",
            "telephone_number": "608-363-5971",
            "fax_number": "608-363-5737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7978 Newburg Rd",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611086927",
            "country_code": "US",
            "telephone_number": "303-968-4260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8104 Sayer Rd",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "61108",
            "country_code": "US",
            "telephone_number": "303-968-4260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAGGART",
        "first_name": "RUTH",
        "middle_name": "C.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "105339",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209-018593",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209.018593",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "9116-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100086324",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beloit, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.