Individual provider Active NPI

Ruta Lee Gaidys, ARNP

  • Adult Health Nurse Practitioner
  • Kingwood, TX
National Provider Identifier
1184664880
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP113306 Issued in TX
Practice address
2111 Southern Pines Dr
Kingwood, TX 77339-3320
Phone
(713) 501-0081
Fax
(866) 945-9469
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP113306 TX Primary

Addresses

Primary practice location

2111 Southern Pines Dr
Kingwood, TX 77339-3320

Mailing address

2111 Southern Pines Dr
Kingwood, TX 77339-3320
Phone (713) 501-0081

Other names 1

  • Ruta Lee Fritz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160825002568 TX Order and Referring Only - Nurse Practitioner 3476508490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Care Services Company Adult Health PastSince Mar 7, 2016 Accepting new patients
Saints Medical Group, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1184664880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 SOUTHERN PINES DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393320",
            "telephone_number": "713-501-0081",
            "fax_number": "866-945-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 SOUTHERN PINES DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393320",
            "telephone_number": "713-501-0081",
            "fax_number": "866-945-9469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAIDYS",
        "first_name": "RUTA",
        "middle_name": "LEE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP113306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTA",
            "last_name": "FRITZ",
            "middle_name": "LEE",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.