Individual provider Active NPI

Catherine Ruffino

  • Medical Physician Assistant
  • Saint Petersburg, FL
National Provider Identifier
1447906334
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9116215 Issued in FL
Practice address
601 7TH St S Ste 565
Saint Petersburg, FL 33701-4708
Phone
(727) 456-8968
NPI assigned
Mar 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9116215 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

601 7TH St S Ste 565
Saint Petersburg, FL 33701-4708

Mailing address

601 7TH St S Ste 565
Saint Petersburg, FL 33701-4708
Phone (727) 456-8968

Other practice location 1

507 N 17th St
Milwaukee, WI 53233
Phone (414) 288-5688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220829003827 FL Practitioner - Physician Assistant 5395129068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Painmedix LLC CurrentSince Oct 30, 2022 Accepting new patients
Stemedix, Inc Medical CurrentSince Jul 11, 2022 Accepting new patients

Locations

601 7th St S
Ste 565
St Petersburg, FL 33701
Phone (727) 456-8968

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.

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1447906334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 7TH ST S STE 565",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014708",
            "telephone_number": "727-456-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 7TH ST S STE 565",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014708",
            "telephone_number": "727-456-8968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 N 17th St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "53233",
            "country_code": "US",
            "telephone_number": "414-288-5688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUFFINO",
        "first_name": "CATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9116215",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.