Individual provider Active NPI

Ruth Garza

  • Other Technician
  • Scottsbluff, NE
National Provider Identifier
1306275870
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Practice address
1722 1St Ave
Scottsbluff, NE 69361-2401
Phone
(308) 635-6217
Fax
(308) 635-6217
NPI assigned
Nov 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Other Technician 247200000X NE Primary

Addresses

Primary practice location

1722 1St Ave
Scottsbluff, NE 69361-2401

Mailing address

313 E 27TH St
Scottsbluff, NE 69361-1762
Phone (308) 635-6230

Other practice location 1

18 W 16th St
Scottsbluff, NE 69361-3154
Phone (308) 632-4412

Other identifiers 1

IdentifierTypeStateIssuer
47051963380MedicaidNE

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

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1306275870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 E 27TH ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693611762",
            "telephone_number": "308-635-6230",
            "fax_number": "308-635-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 1ST AVE",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693612401",
            "telephone_number": "308-635-6217",
            "fax_number": "308-635-6217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 W 16th St",
            "address_purpose": "LOCATION",
            "city": "Scottsbluff",
            "state": "NE",
            "postal_code": "693613154",
            "country_code": "US",
            "telephone_number": "308-632-4412",
            "fax_number": "308-632-2326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARZA",
        "first_name": "RUTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47051963380",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.