Individual provider Active NPI

Cynthia Ann Ruiz, MSN RN FNP-C CCRN

  • Family Nurse Practitioner
  • La Grande, Or 97850, OR
National Provider Identifier
1265836639
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53651 Issued in NM
Practice address
Grande Ronde Hospital
900 Sunset Dr
La Grande, Or 97850, OR 97850
Phone
(210) 454-8042
NPI assigned
Oct 14, 2014
Last updated
Mar 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704384093 MI
Family Nurse Practitioner 363LF0000X 011774 CT
Family Nurse Practitioner 363LF0000X AP126659 TX
Family Nurse Practitioner 363LF0000X 53651 NM Primary

Addresses

Primary practice location

Grande Ronde Hospital
900 Sunset Dr
La Grande, Or 97850, OR 97850

Mailing address

323 Canyon FRST
Helotes, TX 78023-2887
Phone (210) 454-8042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, MI, CT4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20150115001917 TX Practitioner - Nurse Practitioner 3678897931 Reassigns benefits to 4 organizations
I20190520000944 NM Practitioner - Nurse Practitioner 3678897931 Reassigns benefits to 3 organizations
I20220118001496 MI Practitioner - Nurse Practitioner 3678897931 Reassigns benefits to 1 organization
I20230417002929 CT Practitioner - Nurse Practitioner 3678897931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
011774CTMDFamily Nurse Practitioner
53651NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Healthcare Services of Texas, PLLC Nurse Practitioner CurrentSince Feb 13, 2019 Accepting new patients
Presbyterian Healthcare Services Current Accepting new patients
Victoria Emergency Partners LLC CurrentSince May 3, 2020 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jun 2, 2019 Accepting new patients
W.a. Foote Memorial Hospital Nurse Practitioner CurrentSince Jan 17, 2022 Accepting new patients
Hospitalist Medicine Physicians of New Mexico - Clovis, LLC Nurse Practitioner CurrentSince Feb 14, 2023 Accepting new patients
Lonestar Hospital Medicine Associates, PA CurrentSince Feb 13, 2019 Accepting new patients
W.a. Foote Memorial Hospital CurrentSince Jan 17, 2022 Accepting new patients
W.a. Foote Memorial Hospital, Inc Nurse Practitioner Current Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Nurse Practitioner CurrentSince May 12, 2023 Accepting new patients
South Texas Hospitalist Associates LLC CurrentSince Jun 24, 2020 Accepting new patients
Victoria Emergency Associates LLC Past Accepting new patients

Locations

5870 N Hiatus Rd
Tamarac, FL 33321
Phone (957) 377-2954

1 Ford Pl
Detroit, MI 48202
Phone (313) 874-4118

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

4900 N Lovington Hwy
Hobbs, NM 88240
Phone (575) 492-5000

4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234

4801 Beckner Rd
#F
Santa Fe, NM 87507
Phone (505) 772-1234

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

3333 Research Plz
San Antonio, TX 78235
Phone (210) 297-3000

8811 Village Dr
San Antonio, TX 78217
Phone (210) 297-2000

1025 Garner Field Rd
Uvalde, TX 78801
Phone (830) 278-6254

Interoperability endpoints

  • Direct secure messaging: cruiz777819@direct.hfhs.org
  • Direct secure messaging: cynthia.ruiz@3879.securemail.prognocis.com

Organizations & group practices 12

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": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1265836639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 CANYON FRST",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780232887",
            "telephone_number": "210-454-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GRANDE RONDE HOSPITAL",
            "address_2": "900 SUNSET DR",
            "city": "LA GRANDE, OR 97850",
            "state": "OR",
            "postal_code": "97850",
            "telephone_number": "210-454-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MSN RN FNP-C CCRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704384093",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "011774",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126659",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "53651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.