Kathleen Ann Ruel, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

13604 Issued in CA

Practice address

1497 Alcatraz Ave
Berkeley, CA 94702-2710

Phone

(510) 433-1160

Fax

(510) 844-0132

NPI assigned

May 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: kathleen.ruel.1@17742.direct.athenahealth.com

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487860987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16215 LYLE ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781114",
            "telephone_number": "510-276-7965",
            "fax_number": "510-481-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 ALCATRAZ AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947022710",
            "telephone_number": "510-433-1160",
            "fax_number": "510-844-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUEL",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "13604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N.P. FURNISHING NUMBER",
            "identifier": "13604",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Rudin
• Linda Rudolph, MD
• Mary Diaso Rudy, L.C.S.W.
• Claudia Cynthia Ruegg, O.D.
• Amita Sung Ruehe, D.D.S.
• Chris Ruggiero
• Lauren Ruiz
• Linda Michelle Ruiz, LCSW
• Olina Rule, LMFT
• Pamela Rumberg

• Adult Health Nurse Practitioner in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.