Active NPI
Paige Ruden, ATC
- Athletic Trainer
- Indianapolis, IN
National Provider Identifier
1477117604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1965
- Practice address
- 7001 W 56TH St
Indianapolis, IN 46254-9725 - Phone
- (443) 758-5755
- NPI assigned
- Apr 23, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1965 | AL | Primary |
Addresses
Primary practice location
7001 W 56TH St
Indianapolis, IN 46254-9725
Mailing address
229 Saint Antons Way
Arnold, MD 21012-1065
Phone (443) 758-5755
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 |
|---|---|---|---|
| 1965 | AL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555977600000",
"number": "1477117604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 SAINT ANTONS WAY",
"city": "ARNOLD",
"state": "MD",
"postal_code": "210121065",
"telephone_number": "443-758-5755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 W 56TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462549725",
"telephone_number": "443-758-5755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDEN",
"first_name": "PAIGE",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-23",
"last_updated": "2019-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "1965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.