Organization Active NPI

Ruth Fletcher,Crna,PLLC

  • Certified Registered Nurse Anesthetist
  • Stephenville, TX
National Provider Identifier
1396982138
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
248905 Issued in TX
Legal business name
RUTH FLETCHER,CRNA,PLLC
Practice address
140 River North Blvd
Stephenville, TX 76401-1803
Phone
(817) 968-7020
NPI assigned
Jan 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Authorized official

Name
Ruth Fletcher, CRNA
Title
Crna
Phone
(817) 294-7444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 248905 TX Primary

Addresses

Primary practice location

140 River North Blvd
Stephenville, TX 76401-1803

Mailing address

PO Box 2626
Fort Worth, TX 76113-2626
Phone (817) 294-7444

Other identifiers 1

IdentifierTypeStateIssuer
208505201MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1396982138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2626",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761132626",
            "telephone_number": "817-294-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 RIVER NORTH BLVD",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011803",
            "telephone_number": "817-968-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTH FLETCHER,CRNA,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "817-294-7444",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "248905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208505201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stephenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.