Active NPI
Jennifer Blair Pollard Ruiz, MD
- Family Medicine Physician
- Austin, TX
National Provider Identifier
1417915802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- P5450
- Practice address
- 6300 Bee Caves Rd Ste 450
Austin, TX 78746-5832 - Phone
- (512) 829-0565
- Fax
- (512) 309-7031
- NPI assigned
- May 3, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | P5450 | TX | Primary |
| Adult Medicine Physician | 207QA0505X | P5450 | TX |
Addresses
Primary practice location
6300 Bee Caves Rd Ste 450
Austin, TX 78746-5832
Mailing address
6300 Bee Caves Rd Ste 450
Austin, TX 78746-5832
Phone (512) 829-0565
Other names 1
- Jennifer Blair Pollard
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 14, 2017 through Jun 14, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P5450 | TX | MD | Family Medicine Physician |
Interoperability endpoints
- jennifer.pollard@160177656168452.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1417915802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 BEE CAVES RD STE 450",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787465832",
"telephone_number": "512-829-0565",
"fax_number": "512-309-7031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 BEE CAVES RD STE 450",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787465832",
"telephone_number": "512-829-0565",
"fax_number": "512-309-7031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLARD RUIZ",
"first_name": "JENNIFER",
"middle_name": "BLAIR",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "P5450",
"primary": true
},
{
"code": "207QA0505X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": "TX",
"license": "P5450",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "POLLARD",
"middle_name": "BLAIR",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Austin, TX
- John Politz, M.D.
- Polk Nursing Home Limited Partnership (Timberwood Nursing and Rehabilitation Center)
- Carly Pollack, CCN, MS
- Jennifer Pollack, LMFT
- Danielle Melissa Polland, LCSW
- Tracy Angelia Pollard-Johnson
- Rebecca Pollard-Pierik, M.A., LPC
- Chelsea Anne Pollard, MMSC, PA-C
- Sarah Pollard, LCSW
- Talisa Lynette Pollard
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.