Active NPI
Ruby J Westbrook
- Private Vehicle
- Chardon, OH
National Provider Identifier
1275772444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- CSW6082
- Practice address
- 397 Park Ave Apt 110C
Chardon, OH 44024-1362 - Phone
- (440) 285-4838
- NPI assigned
- Feb 11, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | CSW6082 | OH | Primary |
Addresses
Primary practice location
397 Park Ave Apt 110C
Chardon, OH 44024-1362
Mailing address
397 Park Ave Apt 110C
Chardon, OH 44024-1362
Phone (440) 285-4838
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2880100 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW6082 | OH | MD | Private Vehicle |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234310400000",
"number": "1275772444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "397 PARK AVE APT 110C",
"city": "CHARDON",
"state": "OH",
"postal_code": "440241362",
"telephone_number": "440-285-4838",
"fax_number": "144-028-5483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "397 PARK AVE APT 110C",
"city": "CHARDON",
"state": "OH",
"postal_code": "440241362",
"telephone_number": "440-285-4838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTBROOK",
"first_name": "RUBY",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-11",
"last_updated": "2009-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "OH",
"license": "CSW6082",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2880100",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.