Individual provider Active NPI

Ruth H Christos, FNP-BC

  • Family Nurse Practitioner
  • Etowah, NC
National Provider Identifier
1457344616
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5004241 Issued in NC
Practice address
6503 Brevard Rd
Etowah, NC 28729-8739
Phone
(828) 890-4156
Fax
(828) 891-9276
NPI assigned
Aug 23, 2005
Last updated
Jun 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5004241 NC Primary

Addresses

Primary practice location

6503 Brevard Rd
Etowah, NC 28729-8739

Mailing address

PO Box 63314
Charlotte, NC 28263-3314
Phone (828) 696-1312

Other identifiers 1

IdentifierTypeStateIssuer
7004261MedicaidNC

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5004241NCMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1457344616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63314",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633314",
            "telephone_number": "828-696-1312",
            "fax_number": "828-696-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6503 BREVARD RD",
            "city": "ETOWAH",
            "state": "NC",
            "postal_code": "287298739",
            "telephone_number": "828-890-4156",
            "fax_number": "828-891-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOS",
        "first_name": "RUTH",
        "middle_name": "H",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004261",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Etowah, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.