Individual provider Active NPI

Melinda Ellen Rueb

  • Family Nurse Practitioner
  • Turlock, CA
National Provider Identifier
1235503582
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95002553 Issued in CA
Practice address
2010 Colorado Ave
Turlock, CA 95382-2002
Phone
(209) 634-3300
NPI assigned
Nov 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95002553 CA Primary

Addresses

Primary practice location

2010 Colorado Ave
Turlock, CA 95382-2002

Mailing address

2010 Colorado Ave
Turlock, CA 95382-2002
Phone (209) 634-3300

Other names 1

  • Melinda Ellen Rueb-Moffett Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1235503582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 COLORADO AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822002",
            "telephone_number": "209-634-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 COLORADO AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822002",
            "telephone_number": "209-634-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUEB",
        "first_name": "MELINDA",
        "middle_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "RUEB-MOFFETT",
            "middle_name": "ELLEN",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.