Individual provider Active NPI

Beth M Ruhland, R.N.

  • Registered Nurse
  • De Pere, WI
National Provider Identifier
1487972337
Registry record updated May 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
171146-30 Issued in WI
Practice address
1000 Aster CT
De Pere, WI 54115-7693
Phone
(920) 309-2463
NPI assigned
May 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 171146-30 WI Primary

Addresses

Primary practice location

1000 Aster CT
De Pere, WI 54115-7693

Mailing address

1000 Aster CT
De Pere, WI 54115-7693
Phone (920) 309-2463

Other names 1

  • Beth M Snyder Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
171146-30WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1273968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273968000000",
    "number": "1487972337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ASTER CT",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541157693",
            "telephone_number": "920-309-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ASTER CT",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541157693",
            "telephone_number": "920-309-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUHLAND",
        "first_name": "BETH",
        "middle_name": "M",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-16",
        "last_updated": "2010-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "171146-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "SNYDER",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in De Pere, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2010; 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.