Jennifer Ruka

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

099007576RN Issued in OR

Practice address

5200 SW Macadam Ave
Portland, OR 97239-6103

Phone

(503) 282-7920

NPI assigned

Oct 23, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nursefinders

  • Assisted Living Facility (Behavioral Disturbances)
  • Portland, OR
  • NPI 1346589728
  NPD (past) Authorized official

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1497127971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 NW 146TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972299263",
            "telephone_number": "503-531-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 SW MACADAM AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972396103",
            "telephone_number": "503-282-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUKA",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "099007576RN",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "463886",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Angelica Ruiz, PA-C, MHS
• Enewan Ruiz, PHARMD
• Jayda Ruiz
• Nicole Michelle Ruiz
• Roseanna Ruiz
• Amanda Leigh Ruley, LMT
• Lisselle Hannah Rulona
• Kathryn Rumer-Cleary, LAC
• Glenn Ruminson, MD
• Elizabeth Marygrace Rumney, AU.D.

• Registered Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.