Individual provider Active NPI

Susan Beth Rueling

  • Registered Nurse
  • Gilbert, AZ
National Provider Identifier
1366852097
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN100076 Issued in AZ
Practice address
3299 E Kingbird Dr
Gilbert, AZ 85297-8222
Phone
(480) 330-2257
NPI assigned
May 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN100076 AZ Primary

Addresses

Primary practice location

3299 E Kingbird Dr
Gilbert, AZ 85297-8222

Mailing address

3299 E Kingbird Dr
Gilbert, AZ 85297-8222
Phone (480) 330-2257

Other identifiers 1

IdentifierTypeStateIssuer
6790572142OtherAZBLUE CROSS BLUE SHIELD OF ARIZONA

Other names 1

  • Susan Beth Haniford Former name

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
RN100076AZMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1366852097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3299 E KINGBIRD DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978222",
            "telephone_number": "480-330-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3299 E KINGBIRD DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978222",
            "telephone_number": "480-330-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUELING",
        "first_name": "SUSAN",
        "middle_name": "BETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-02",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN100076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ARIZONA",
            "identifier": "6790572142",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "HANIFORD",
            "middle_name": "BETH",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.