Ruby Louise Salley, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

3804691 Issued in NY

Practice address

300 Chazy Lake Rd
Saranac, NY 12981

Phone

(518) 293-1171

NPI assigned

May 21, 2008

Last updated

May 21, 2008By the provider in NPPES

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 identifiers 1

Other names 1

• Ruby Louise La Barre Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1174780688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 ROGERS LANE",
            "city": "KEESEVILLE",
            "state": "NY",
            "postal_code": "12944",
            "telephone_number": "518-834-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CHAZY LAKE RD",
            "city": "SARANAC",
            "state": "NY",
            "postal_code": "12981",
            "telephone_number": "518-293-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLEY",
        "first_name": "RUBY",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "3804691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MA01258593",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUBY",
            "last_name": "LA BARRE",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sheila Marie Miner
• Bonnie Myers, SLP
• Emma K Newell, OTR/L
• Sharon Lynn Recore
• Kristin N. Roy
• Saranac Central School District
• Saranac Fire District
• Stacey Lynne Smart, RN
• Martha Marie Smith, RN
• Savanna Wilson, LMT, MMP

• Home Health Registered Nurse in Saranac, NY
• Providers in Saranac, NY by specialty
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.