Ruby Waga Moss, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

049536 Issued in MN

Practice address

1544 Sheldon St
Saint Paul, MN 55108-2331

Phone

(651) 646-3091

Fax

(651) 646-3124

NPI assigned

Apr 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1184688863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 PARKCLIFF DR",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551232143",
            "telephone_number": "651-405-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 SHELDON ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551082331",
            "telephone_number": "651-646-3091",
            "fax_number": "651-646-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "RUBY",
        "middle_name": "WAGA",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R 091572-6",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "049536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "443720900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frederick S Mosch, MD
• Elizabeth Ann Moses, CNP
• Jamie Lynn Mosner
• Stephen N Mosner, PHARM.D.
• Adele Rose Moss, CPM
• William M Moss, CRNA
• Emileah Most, MS, LMFT
• Serena Motelewski, CCC-SLP
• Motherhood to Menopause Midwifery Care, LLC
• Mothering Roots Therapy & Wellness, LLC

• Certified Registered Nurse Anesthetist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Certified Registered Nurse Anesthetist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.