Active NPI
Ruthann Aurentz, NP
- Nurse Practitioner
- Saratoga Springs, NY
National Provider Identifier
1295824670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 363772
- Practice address
- 59 Myrtle St
Suite 100
Saratoga Springs, NY 12866-1027 - Phone
- (518) 587-2400
- Fax
- (518) 581-0141
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 363772 | NY | Primary |
Addresses
Primary practice location
59 Myrtle St
Suite 100
Saratoga Springs, NY 12866-1027
Mailing address
59 Myrtle St
Suite 100
Saratoga Springs, NY 12866-1027
Phone (518) 587-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01623409 | Medicaid | NY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 363772 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saratoga Regional Medical , P.C | 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.
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- Glens Falls, NY
- NPI 1982094827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234915200000",
"number": "1295824670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 MYRTLE ST",
"address_2": "SUITE 100",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128661027",
"telephone_number": "518-587-2400",
"fax_number": "518-581-0141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 MYRTLE ST",
"address_2": "SUITE 100",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128661027",
"telephone_number": "518-587-2400",
"fax_number": "518-581-0141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AURENTZ",
"first_name": "RUTHANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2009-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "363772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01623409",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.