Active NPI
Ruth Keheley Burnett, LMP
- Specialist
- Puyallup, WA
National Provider Identifier
1194057604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA 60063544
- Practice address
- 818 39TH Ave SW Ste a
Puyallup, WA 98373-3308 - Phone
- (253) 841-2200
- NPI assigned
- Feb 8, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA 60063544 | WA | Primary |
Addresses
Primary practice location
818 39TH Ave SW Ste a
Puyallup, WA 98373-3308
Mailing address
PO Box 731245
Puyallup, WA 98373-0060
Phone (253) 841-2200
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA 60063544 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southsound Treatment Massage | Specialist | Past | Accepting new patients |
| Southsound Treatment Massage | 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.
-
- Specialist
- Puyallup, WA
- NPI 1245487347
-
- Massage Therapist
- Puyallup, WA
- NPI 1487993325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300320000000",
"number": "1194057604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 731245",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983730060",
"telephone_number": "253-841-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 39TH AVE SW STE A",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983733308",
"telephone_number": "253-841-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT",
"first_name": "RUTH",
"middle_name": "KEHELEY",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-08",
"last_updated": "2011-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA 60063544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.