Ruth Walsworth, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

272764 Issued in MA

Practice address

595 Pawtucket Blvd Ste 2
Lowell, MA 01854-2042

Phone

(978) 459-8447

Fax

(978) 459-6125

NPI assigned

Sep 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

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.

• LGH Professional Services LLC

  • Internal Medicine Physician
  • Lowell, MA
  • NPI 1417485541
  NPD (past)

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

{
    "created_epoch": "1474156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1174071286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 PAWTUCKET BLVD STE 2",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542042",
            "telephone_number": "978-459-8447",
            "fax_number": "978-459-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 PAWTUCKET BLVD STE 2",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542042",
            "telephone_number": "978-459-8447",
            "fax_number": "978-459-6125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 Varnum Ave",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MA",
            "postal_code": "018542141",
            "country_code": "US",
            "telephone_number": "978-936-9220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSWORTH",
        "first_name": "RUTH",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-18",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "047111-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "272764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott D Wallace
• Alexandra Wallenstein
• Dan Wallin
• Melanie Walsh-Mager
• Haley Walsh
• Morgan Elizabeth Walter
• Rebecca A Walton, R.N.
• Nobert Wambui
• Deborah Wane, RD, LDN
• Hanbin Wang, D.M.D

• Family Nurse Practitioner in Lowell, MA
• Providers in Lowell, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.