Hederson Anibal Ruiz

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 60325876 Issued in WA

Practice address

12618 109TH CT NE Apt H305
Kirkland, WA 98034-6496

Phone

(206) 915-9620

NPI assigned

Jul 10, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Hederson Anibal Ruiz Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1174964837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12618 109TH CT NE APT H305",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346496",
            "telephone_number": "206-915-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12618 109TH CT NE APT H305",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346496",
            "telephone_number": "206-915-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "HEDERSON",
        "middle_name": "ANIBAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60325876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEDERSON",
            "last_name": "RUIZ",
            "middle_name": "ANIBAL",
            "credential": "7003274",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lisa Renee Rudduck, MA, CDP, LMHC
• Tom J Rude, D.D.S.
• Shanna Rudio
• Megan Marie Rueckl, LMP
• Anyssa Danielle Ruiz, DPT
• Kelly Lynn Rundle, LMHC
• Harleston Earle Runion III, DMD
• Mary Kathryn Rusk, RD
• Russell K. Nomi, DDS, PS
• Sophie Russell-Kalua

• Massage Therapist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.