Individual provider Active NPI

Ruby V Thomas, APRN,CNP

  • Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1477907244
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
75370 Issued in OK
Practice address
2811 E 15TH St Ste 102
Tulsa, OK 74104-5242
Phone
(918) 935-3240
Fax
(918) 935-3241
NPI assigned
Apr 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 75370 OK Primary

Addresses

Primary practice location

2811 E 15TH St Ste 102
Tulsa, OK 74104-5242

Mailing address

2811 E 15TH St Ste 102
Tulsa, OK 74104-5242
Phone (918) 935-3240

Other practice location 1

6048A S Sheridan Rd
Tulsa, OK 74145-9212
Phone (918) 935-3240

Other practice location 2

10512 N 110th East Ave
Suite 100
Owasso, OK 74055-6636
Phone (918) 272-6333

Other identifiers 1

IdentifierTypeStateIssuer
75370OtherOKSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20160616001885 OK Practitioner - Nurse Practitioner 3971894296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seva Pain and WellnessGroup PAC ID 8820328719, 15 clinicians

Practice addresses (Care Compare)

2811 E 15TH St
102 Seva Med Care
Tulsa, OK 74104-5242
Phone (918) 935-3240

Merit-based Incentive Payment System (MIPS)

Final score
73.46 of 100Reported as group
Quality
55.47
Improvement activities
40
Cost
41.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seva Pain and Wellness CurrentSince Jun 12, 2020 Accepting new patients
Seva Pain and Wellness CurrentSince Jun 12, 2020 Accepting new patients
St. John Physicians, Inc. CurrentSince Nov 14, 2016 Accepting new patients
St. John Physicians, Inc CurrentSince Nov 14, 2016 Accepting new patients

Locations

1000 W Boise Cir
Fl 3
Broken Arrow, OK 74012
Phone (918) 682-6161

2811 E 15th St
Ste 102
Tulsa, OK 74104
Phone (918) 701-2000

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

6048 S Sheridan Rd
Ste A
Tulsa, OK 74145
Phone (918) 935-3240

1850 Lakepointe Dr
Ste 700
Lewisville, TX 75057
Phone (214) 306-4116

Interoperability endpoints

  • Direct secure messaging: rthomas142783@ahs.direct-ci.com

Organizations & group practices 5

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": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1477907244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 E 15TH ST STE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045242",
            "telephone_number": "918-935-3240",
            "fax_number": "918-935-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 E 15TH ST STE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045242",
            "telephone_number": "918-935-3240",
            "fax_number": "918-935-3241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6048A S Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741459212",
            "country_code": "US",
            "telephone_number": "918-935-3240",
            "fax_number": "918-935-3241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10512 N 110th East Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Owasso",
            "state": "OK",
            "postal_code": "740556636",
            "country_code": "US",
            "telephone_number": "918-272-6333",
            "fax_number": "918-376-8433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "RUBY",
        "middle_name": "V",
        "credential": "APRN,CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "75370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "75370",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.