Individual provider Active NPI

Ruth Elaine Donaldson, A.P.N

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Marysville, OH
National Provider Identifier
1366796526
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
RX 01890 Issued in OH
Practice address
1479 Collins Ave
Riley Building
Marysville, OH 43040-8808
Phone
(937) 642-1065
NPI assigned
Nov 8, 2012
Last updated
Nov 8, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X RN126895 OH
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X RX 01890 OH Primary

Addresses

Primary practice location

1479 Collins Ave
Riley Building
Marysville, OH 43040-8808

Mailing address

3118 Trentwood Rd
Columbus, OH 43221-2351
Phone (614) 442-6789

Other identifiers 2

IdentifierTypeStateIssuer
2655149MedicaidOH
DONS03081OtherOHMEDICARE

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
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
RN126895OHMDAdult Psychiatric/Mental Health Clinical Nurse Specialist
RX 01890OHMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1366796526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 TRENTWOOD RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212351",
            "telephone_number": "614-442-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1479 COLLINS AVE",
            "address_2": "RILEY BUILDING",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408808",
            "telephone_number": "937-642-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "RUTH",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "A.P.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "OH",
            "license": "RN126895",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "OH",
            "license": "RX 01890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2655149",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "DONS03081",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.