Individual provider Active NPI

Deena Cruce

  • Public Health or Welfare Agency
  • Gainesville, FL
National Provider Identifier
1184261125
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
100079811 Issued in FL
Practice address
4800 NW 19TH PL
Gainesville, FL 32605-3434
Phone
(352) 226-4400
NPI assigned
Dec 10, 2019
Last updated
Dec 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 100079811 FL Primary

Addresses

Primary practice location

4800 NW 19TH PL
Gainesville, FL 32605-3434

Mailing address

4800 NW 19TH PL
Gainesville, FL 32605-3434
Phone (352) 226-4400

Other names 1

  • Deena Marie Ruth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
100079811FLMDPublic Health or Welfare Agency

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1184261125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 NW 19TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053434",
            "telephone_number": "352-226-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 NW 19TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053434",
            "telephone_number": "352-226-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUCE",
        "first_name": "DEENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "FL",
            "license": "100079811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEENA",
            "last_name": "RUTH",
            "middle_name": "MARIE",
            "credential": "DEENA RUTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.