Active NPI
Ruslana Midway, RD
- Registered Dietitian
- Conshohocken, PA
National Provider Identifier
1154570919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN002709
- Practice address
- 1950 Butler Pike
#114
Conshohocken, PA 19428-1202 - Phone
- (610) 279-5125
- NPI assigned
- Sep 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN002709 | PA | Primary |
Addresses
Primary practice location
1950 Butler Pike
#114
Conshohocken, PA 19428-1202
Mailing address
1950 Butler Pike
#114
Conshohocken, PA 19428-1202
Phone (610) 279-5125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250103003391 | PA | Practitioner - Registered Dietitian Or Nutrition Professional | 0648708693 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN002709 | PA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221523200000",
"number": "1154570919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 BUTLER PIKE",
"address_2": "#114",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194281202",
"telephone_number": "610-279-5125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 BUTLER PIKE",
"address_2": "#114",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194281202",
"telephone_number": "610-279-5125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDWAY",
"first_name": "RUSLANA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-16",
"last_updated": "2008-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN002709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conshohocken, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.