Individual provider Active NPI

Rubi Spray, APRN, FNP-BC

  • Family Nurse Practitioner
  • Great Bend, KS
National Provider Identifier
1255195079
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
162188 Issued in KS
Practice address
1021 Eisenhower Ave
Great Bend, KS 67530-3213
Phone
(620) 792-5437
NPI assigned
Feb 12, 2024
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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 162188 KS Primary

Addresses

Primary practice location

1021 Eisenhower Ave
Great Bend, KS 67530-3213

Mailing address

1021 Eisenhower Ave
Great Bend, KS 67530-3213
Phone (620) 792-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240418001480 KS Practitioner - Nurse Practitioner 0749629152 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
162188KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ukhs Great Bend, LLC CurrentSince Apr 22, 2024 Accepting new patients
Ukhs Great Bend, LLC Past Accepting new patients

Locations

1021 Eisenhower Ave
Great Bend, KS 67530
Phone (620) 792-5437

514 Cleveland St
Great Bend, KS 67530
Phone (620) 659-2890

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": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1255195079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 EISENHOWER AVE",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303213",
            "telephone_number": "620-792-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 EISENHOWER AVE",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303213",
            "telephone_number": "620-792-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAY",
        "first_name": "RUBI",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "162188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Bend, KS

Sources for this page

Verify at the official NPI Registry.