Individual provider Active NPI

Ruth Elaine Brewer, NP

  • Family Nurse Practitioner
  • Sulphur, LA
National Provider Identifier
1386762441
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN028675 Issued in LA
Practice address
701 Cypress St
West Calcasieu Cameron Hospital Clinics
Sulphur, LA 70663-5053
Phone
(337) 569-2245
Fax
(337) 569-2275
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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 RN028675 LA Primary

Addresses

Primary practice location

701 Cypress St
West Calcasieu Cameron Hospital Clinics
Sulphur, LA 70663-5053

Mailing address

PO Box 62
Vidor, TX 77670-0062
Phone (409) 769-2909

Other identifiers 1

IdentifierTypeStateIssuer
1692450MedicaidLA

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN028675LAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1386762441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62",
            "city": "VIDOR",
            "state": "TX",
            "postal_code": "776700062",
            "telephone_number": "409-769-2909",
            "fax_number": "409-769-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CYPRESS ST",
            "address_2": "WEST CALCASIEU CAMERON HOSPITAL CLINICS",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635053",
            "telephone_number": "337-569-2245",
            "fax_number": "337-569-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "RUTH",
        "middle_name": "ELAINE",
        "name_prefix": "Prof.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN028675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1692450",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.