Individual provider Active NPI

Ruth Tongen, RN, LAC

  • Registered Nurse
  • Edina, MN
National Provider Identifier
1265580427
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R1055423 Issued in MN
Practice address
4820 West 77TH Street
Suite 145
Edina, MN 55435-4822
Phone
(952) 920-9830
NPI assigned
Jan 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R1055423 MN Primary
Acupuncturist 171100000X 1297 MN

Addresses

Primary practice location

4820 West 77TH Street
Suite 145
Edina, MN 55435-4822

Mailing address

4820 West 77TH Street
Suite 145
Edina, MN 55435-4822
Phone (952) 920-9830

Other names 1

  • Ruth Tongen Eaton 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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1297MNMDMarriage & Family Therapist
R1055423MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Health, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1265580427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 WEST 77TH STREET",
            "address_2": "SUITE 145",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354822",
            "telephone_number": "952-920-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 WEST 77TH STREET",
            "address_2": "SUITE 145",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354822",
            "telephone_number": "952-920-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONGEN",
        "first_name": "RUTH",
        "credential": "RN, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-06",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R1055423",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1297",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "EATON",
            "middle_name": "TONGEN",
            "credential": "RN, LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.