Active NPI
Ruby Ellis Denson, NP
- Family Nurse Practitioner
- Jackson, MS
National Provider Identifier
1396843694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R677167
- Practice address
- 1500 East Woodrow Wilson Drive
Jackson, MS 39216-5199 - Phone
- (601) 362-4471
- Fax
- (601) 368-3802
- NPI assigned
- Sep 20, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R677167 | MS | Primary |
Addresses
Primary practice location
1500 East Woodrow Wilson Drive
Jackson, MS 39216-5199
Mailing address
313 Pine Ridge Road
Jackson, MS 38206
Phone (601) 981-7626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396843694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 PINE RIDGE ROAD",
"city": "JACKSON",
"state": "MS",
"postal_code": "38206",
"telephone_number": "601-981-7626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 EAST WOODROW WILSON DRIVE",
"city": "JACKSON",
"state": "MS",
"postal_code": "392165199",
"telephone_number": "601-362-4471",
"fax_number": "601-368-3802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENSON",
"first_name": "RUBY",
"middle_name": "ELLIS",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R677167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.