NPIMap

Individual provider Active NPI

Mamie S. Ruble, N.P.

  • Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1255310058
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
15843 Issued in TN
Practice address
1434 Porter St
Frederick, MD 21702-9254
Phone
(301) 619-9916
NPI assigned
Jan 11, 2006
Last updated
Jul 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 15843 TN Primary

Addresses

Primary practice location

1434 Porter St
Frederick, MD 21702-9254

Mailing address

1434 Porter St
Frederick, MD 21702-9254
Phone (301) 619-9916

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Clinic of Hot Springs PA Past Accepting new patients
Symed, LLC Past Accepting new patients
Center for Spine Joint and Neuromuscular Rehab PC Past Accepting new patients
Symed, LLC Past Accepting new patients
Center for Spine, Joint & Neuromuscular Rehabilitation PastSince Oct 4, 2012 Accepting new patients
Healthfirst Physicians of Arkansas PA Past Accepting new patients
Central Arkansas Pain Center PA Past Accepting new patients
Caremore Aspire Primary Care Partners, PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHJBDD

Organizations & group practices 8

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1255310058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 PORTER ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217029254",
            "telephone_number": "301-619-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 PORTER ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217029254",
            "telephone_number": "301-619-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBLE",
        "first_name": "MAMIE",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "15843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.