Individual provider Active NPI

Freya Cerna Ruda, APN

  • Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1336696988
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95008941 Issued in CA
Practice address
8191 Timberlake Way Ste 350
Sacramento, CA 95823-5419
Phone
(916) 688-9994
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209014686 IL
Nurse Practitioner 363L00000X 95008941 CA Primary

Addresses

Primary practice location

8191 Timberlake Way Ste 350
Sacramento, CA 95823-5419

Mailing address

5316 Tersk Way
Elk Grove, CA 95757-3224
Phone (224) 302-2513

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Sacramento Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
95008941CAMDNurse Practitioner
209014686ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Clinical Midwest, LLC Nurse Practitioner Past Accepting new patients
Osf Multi-Specialty Group Past Accepting new patients

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1336696988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5316 TERSK WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957573224",
            "telephone_number": "224-302-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8191 TIMBERLAKE WAY STE 350",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235419",
            "telephone_number": "916-688-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDA",
        "first_name": "FREYA",
        "middle_name": "CERNA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209014686",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95008941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Sacramento",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "8191 Timberlake Way Ste 350",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958235419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.