Individual provider Active NPI

Kerry Jean Ruia, FNP-C

  • Nurse Practitioner
  • New Hartford, NY
National Provider Identifier
1356486526
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F332299 Issued in NY
Practice address
95 Genesee St
New Hartford, NY 13413-2357
Phone
(315) 732-6100
Fax
(315) 732-5542
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F332299 NY Primary

Addresses

Primary practice location

95 Genesee St
New Hartford, NY 13413-2357

Mailing address

77 Genesee St
New Hartford, NY 13413-2336
Phone (315) 732-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111123000193 NY Practitioner - Nurse Practitioner 7911171202 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Organizations & group practices 1

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1356486526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 GENESEE ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132336",
            "telephone_number": "315-732-6100",
            "fax_number": "315-732-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 GENESEE ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132357",
            "telephone_number": "315-732-6100",
            "fax_number": "315-732-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIA",
        "first_name": "KERRY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F332299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

Verify at the official NPI Registry.