Individual provider Active NPI

Ruby Liza Rollins

  • Family Nurse Practitioner
  • South Boston, MA
National Provider Identifier
1336065929
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2309224 Issued in MA
Practice address
101 Emerson St
South Boston, MA 02127-1415
Phone
(617) 717-4516
NPI assigned
Jun 26, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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 RN2309224 MA Primary

Addresses

Primary practice location

101 Emerson St
South Boston, MA 02127-1415

Mailing address

2315 Centre St Apt 1
West Roxbury, MA 02132-5101
Phone (617) 717-4516

Other practice location 1

97 Cedar St
Dedham, MA 02026-3301
Phone (617) 717-4516

Other practice location 2

2315 Centre St
West Roxbury, MA 02132-5101
Phone (617) 717-4516

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": "1782432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1336065929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 CENTRE ST APT 1",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021325101",
            "telephone_number": "617-717-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EMERSON ST",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021271415",
            "telephone_number": "617-717-4516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 Cedar St",
            "address_purpose": "LOCATION",
            "city": "Dedham",
            "state": "MA",
            "postal_code": "020263301",
            "country_code": "US",
            "telephone_number": "617-717-4516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2315 Centre St",
            "address_purpose": "LOCATION",
            "city": "West Roxbury",
            "state": "MA",
            "postal_code": "021325101",
            "country_code": "US",
            "telephone_number": "617-717-4516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "RUBY",
        "middle_name": "LIZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-26",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2309224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.