Individual provider Active NPI

Ruth Leah Kauffman, NP-C

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1295864361
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
64547 Issued in NM
Practice address
9808 Riverside Rd NW
Albuquerque, NM 87114-1969
Phone
(505) 504-6385
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lay Midwife 175M00000X 00407R NM
Family Nurse Practitioner 363LF0000X 64547 NM Primary

Addresses

Primary practice location

9808 Riverside Rd NW
Albuquerque, NM 87114-1969

Mailing address

9808 Riverside Rd NW
Albuquerque, NM 87114-1969
Phone (505) 504-6385

Other identifiers 2

IdentifierTypeStateIssuer
AZ0919310OtherAZBLUE CROSS BLUE SHIELD
94584567MedicaidNM

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

LicenseStateTypeSpecialty
00407RNMMDLay Midwife
64547NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Luna Tierra Casa de Partos Current Accepting new patients
Luna Y Sol Midwifery, Servicios de Parteria Midwife, Lay Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ruth.kauffman@332828990373892.direct.elationemr.com

Organizations & group practices 2

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1295864361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 RIVERSIDE RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141969",
            "telephone_number": "505-504-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 RIVERSIDE RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141969",
            "telephone_number": "505-504-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFFMAN",
        "first_name": "RUTH",
        "middle_name": "LEAH",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": "NM",
            "license": "00407R",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "64547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0919310",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94584567",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.