Active NPI
Ruth Epperson
- Student in an Organized Health Care Education/Training Program
- Arcata, CA
National Provider Identifier
1407307135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- RN291407
- Practice address
- 1 Harpst St
Arcata, CA 95521-8222 - Phone
- (707) 826-3146
- NPI assigned
- Oct 18, 2016
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | RN291407 | CA | Primary |
Addresses
Primary practice location
1 Harpst St
Arcata, CA 95521-8222
Mailing address
1 Harpst St
Arcata, CA 95521-8222
Phone (707) 826-3146
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104991744 | Other | CA | HUMBOLDT STATE UNIVERSITY STUDENT HEALTH CENTER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN291407 | CA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California State Polytechnic University, Humboldt | Past | Accepting new patients | |
| Humboldt State University | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Student Health Clinic/Center
- Arcata, CA
- NPI 1104991744
-
- Student Health Clinic/Center
- Arcata, CA
- NPI 1659793602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476748800000",
"number": "1407307135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HARPST ST",
"city": "ARCATA",
"state": "CA",
"postal_code": "955218222",
"telephone_number": "707-826-3146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HARPST ST",
"city": "ARCATA",
"state": "CA",
"postal_code": "955218222",
"telephone_number": "707-826-3146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPPERSON",
"first_name": "RUTH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-18",
"last_updated": "2016-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "RN291407",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMBOLDT STATE UNIVERSITY STUDENT HEALTH CENTER",
"identifier": "1104991744",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arcata, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.