Individual provider Active NPI

Irma Katie Ruth, CSWR

  • Social Worker
  • Grand Island, NY
National Provider Identifier
1184726218
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R0234251 Issued in NY
Practice address
1870 Whitehaven Rd
Grand Island, NY 14072-1804
Phone
(716) 773-6181
Fax
(716) 773-0941
NPI assigned
Sep 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X R0234251 NY Primary

Addresses

Primary practice location

1870 Whitehaven Rd
Grand Island, NY 14072-1804

Mailing address

1870 Whitehaven Rd
Grand Island, NY 14072-1804
Phone (716) 773-6181

Other identifiers 3

IdentifierTypeStateIssuer
6203620OtherIHA
000505752001OtherBCBS
00020142601OtherUNIVERA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0234251NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clarke Family Medicine, LLP PastSince Feb 1, 2019 Accepting new patients
Niagara Falls Memorial Medical Center Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184726218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 WHITEHAVEN RD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140721804",
            "telephone_number": "716-773-6181",
            "fax_number": "716-773-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 WHITEHAVEN RD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140721804",
            "telephone_number": "716-773-6181",
            "fax_number": "716-773-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTH",
        "first_name": "IRMA",
        "middle_name": "KATIE",
        "name_prefix": "Mrs.",
        "credential": "CSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R0234251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "6203620",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000505752001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00020142601",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.