Active NPI
Jayzalee Ruiz
- Home Health Aide
- Lawrenceville, GA
National Provider Identifier
1396408035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 1705 Alcovy Woods LN
Lawrenceville, GA 30045-7915 - Phone
- (978) 328-2089
- NPI assigned
- Oct 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
1705 Alcovy Woods LN
Lawrenceville, GA 30045-7915
Mailing address
1705 Alcovy Woods LN
Lawrenceville, GA 30045-7915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000 | Other | N/A |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/a |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634601600000",
"number": "1396408035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 ALCOVY WOODS LN",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300457915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 ALCOVY WOODS LN",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300457915",
"telephone_number": "978-328-2089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "JAYZALEE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-19",
"last_updated": "2021-10-19",
"certification_date": "2021-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "000",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/a",
"affiliation": "N",
"address_1": "1705 Alcovy Woods Ln",
"city": "Lawrenceville",
"state": "GA",
"country_code": "US",
"postal_code": "300457915",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.