Individual provider Active NPI

Estela A Ruiz, MSN, FNP-BC

  • Family Nurse Practitioner
  • Waipahu, HI
National Provider Identifier
1174874432
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1471 Issued in HI
Practice address
94-216 Farrington Hwy
Suite B2-105
Waipahu, HI 96797-1922
Phone
(808) 853-8870
Fax
(808) 676-8870
NPI assigned
Sep 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1471 HI Primary

Addresses

Primary practice location

94-216 Farrington Hwy
Suite B2-105
Waipahu, HI 96797-1922

Mailing address

95-1111 Halekua St
Mililani, HI 96789-5518
Phone (808) 429-2156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1471HIMDChiropractor

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEAHAA/Endpoint/BEAHAA

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1174874432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-1111 HALEKUA ST",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967895518",
            "telephone_number": "808-429-2156",
            "fax_number": "808-630-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-216 FARRINGTON HWY",
            "address_2": "SUITE B2-105",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971922",
            "telephone_number": "808-853-8870",
            "fax_number": "808-676-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "ESTELA",
        "middle_name": "A",
        "name_prefix": "Miss",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "1471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

Verify at the official NPI Registry.