Individual provider Active NPI

Kristin Lee Ruggiere, APRN

  • Family Nurse Practitioner
  • Jupiter, FL
National Provider Identifier
1306542113
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11024224 Issued in FL
Practice address
1232 W Indiantown Rd Ste 104
Jupiter, FL 33458-3905
Phone
(561) 277-1672
NPI assigned
Feb 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11024224 FL Primary

Addresses

Primary practice location

1232 W Indiantown Rd Ste 104
Jupiter, FL 33458-3905

Mailing address

6669 Paul Mar Dr
Lake Worth, FL 33462-3939
Phone (561) 436-1018

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
APRN11024224FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1306542113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6669 PAUL MAR DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334623939",
            "telephone_number": "561-436-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 W INDIANTOWN RD STE 104",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583905",
            "telephone_number": "561-277-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGIERE",
        "first_name": "KRISTIN",
        "middle_name": "LEE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11024224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

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