Rodshawn Ruffin

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

855 Providence Reserve Loop Apt 202
Lakeland, FL 33805-2486

Phone

(863) 797-0040

NPI assigned

Jun 6, 2022

Last updated

Jun 6, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1437888633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 PROVIDENCE RESERVE LOOP APT 202",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052486",
            "telephone_number": "863-797-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 PROVIDENCE RESERVE LOOP APT 202",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052486",
            "telephone_number": "863-797-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFFIN",
        "first_name": "RODSHAWN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lakeland",
            "affiliation": "N",
            "address_1": "855 Providence Reserve Loop Apt 202",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338052486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christopher A Rubadue, MD
• Jessica Rudolph
• Rudy Ryan Inc Dba Modern Medical Products (Modern Medical Products)
• Anna Ruehl, PHARMD
• Abigail Ruffi
• Sarahi Ruiz Alvarez
• Jonairis Ruiz Negron
• Daylis Ruiz Ortega
• Jessica Ruiz-Myara, DO
• Pedro Ruiz, MD

• Developmental Therapist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.