Individual provider Active NPI

Ruth Leake, BC-HIS

  • Hearing Instrument Specialist
  • Dublin, VA
National Provider Identifier
1235530932
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2101001950 Issued in VA
Practice address
85 Cleburne Blvd
Dublin, VA 24084-4435
Phone
(540) 674-4889
Fax
(540) 674-1666
NPI assigned
Sep 12, 2014
Last updated
Sep 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 2101001950 VA Primary

Addresses

Primary practice location

85 Cleburne Blvd
Dublin, VA 24084-4435

Mailing address

85 Cleburne Blvd
Dublin, VA 24084-4435
Phone (540) 674-4889

Other names 1

  • Miss Ruth Anne Robinson Former name

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

LicenseStateTypeSpecialty
2101001950VAMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410480000000",
    "number": "1235530932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 CLEBURNE BLVD",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "240844435",
            "telephone_number": "540-674-4889",
            "fax_number": "540-674-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 CLEBURNE BLVD",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "240844435",
            "telephone_number": "540-674-4889",
            "fax_number": "540-674-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAKE",
        "first_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "BC-HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2014-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "VA",
            "license": "2101001950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "ROBINSON",
            "middle_name": "ANNE",
            "prefix": "MISS",
            "credential": "BC-HIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dublin, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.