Ruth Marie Kested, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA04708 Issued in TX

Practice address

1425 8TH Ave
Fort Worth, TX 76104-4151

Phone

(817) 926-4118

Fax

(817) 926-4362

NPI assigned

Feb 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ruth Marie Dyer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1407822570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044151",
            "telephone_number": "817-926-4118",
            "fax_number": "817-926-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044151",
            "telephone_number": "817-926-4118",
            "fax_number": "817-926-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESTED",
        "first_name": "RUTH",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8Y0868",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183819501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "DYER",
            "middle_name": "MARIE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jonathan Kerr, MD
• Kelsey Kerr, MS, LPC-ASSOCIATE
• Robert Alan Kerr, P.T.
• Kerricher Dialysis, LLC (Cowtown West Dialysis)
• Cassidy Rae Keshvani, PA-C
• Oliver Lee Kesterson III, M.D.
• Tracey Murrell Kesterson, RN
• Ashley Ketchum, LCSW
• Manoj A Ketkar, MD
• Kassidy Ketron, LMSW

• Physician Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.