Individual provider Active NPI

Kathleen Elizabeth Ruman, PNP

  • Pediatric Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1235780834
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP143101 Issued in TX
Practice address
9150 Huebner Rd Ste 240
San Antonio, TX 78240-1334
Phone
(210) 576-1436
NPI assigned
Sep 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP143101 TX Primary

Addresses

Primary practice location

9150 Huebner Rd Ste 240
San Antonio, TX 78240-1334

Mailing address

9718 Via Belcara Apt 101
San Antonio, TX 78240-4499
Phone (210) 837-9893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220325001711 TX Practitioner - Nurse Practitioner 5193110393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1235780834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9718 VIA BELCARA APT 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404499",
            "telephone_number": "210-837-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 HUEBNER RD STE 240",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401334",
            "telephone_number": "210-576-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMAN",
        "first_name": "KATHLEEN",
        "middle_name": "ELIZABETH",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP143101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.