Active NPI
Kelsey Ruiz
- Pediatric Nurse Practitioner
- Miami, FL
National Provider Identifier
1437907185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN11029260
- Practice address
- 175 SW 7TH St Ste 2107
Miami, FL 33130-2962 - Phone
- (786) 228-9070
- NPI assigned
- May 8, 2024
- Last updated
- May 8, 2024
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APRN11029260 | FL | Primary |
Addresses
Primary practice location
175 SW 7TH St Ste 2107
Miami, FL 33130-2962
Mailing address
2906 NW 124TH Way
Sunrise, FL 33323-5259
Phone (954) 740-2376
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 |
|---|---|---|---|
| APRN11029260 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simoni Baid MD PLLC | Multi-Specialty | Current | Accepting new patients |
Locations
175 SW 7th St
Ste 2107
Miami, FL 33130
Phone (786) 228-9070
2820 NE 214th St
Ste 801
Miami, FL 33180
Phone (305) 204-9877
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1437907185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2906 NW 124TH WAY",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333235259",
"telephone_number": "954-740-2376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 SW 7TH ST STE 2107",
"city": "MIAMI",
"state": "FL",
"postal_code": "331302962",
"telephone_number": "786-228-9070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "KELSEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-08",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "APRN11029260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.