Individual provider Active NPI

Ruth Gertrude Lavalasse

  • Licensed Practical Nurse
  • Chestnut Ridge, NY
National Provider Identifier
1497146385
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
307547-1 Issued in NY
Practice address
109 Scotland Hill Rd
Chestnut Ridge, NY 10977-5968
Phone
(845) 263-0939
NPI assigned
Feb 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 307547-1 NY Primary

Addresses

Primary practice location

109 Scotland Hill Rd
Chestnut Ridge, NY 10977-5968

Mailing address

109 Scotland Hill Rd
Chestnut Ridge, NY 10977-5968
Phone (845) 263-0939

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

LicenseStateTypeSpecialty
307547-1NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Alliance Services Inc. Past Accepting new patients

Organizations & group practices 1

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": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1497146385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SCOTLAND HILL RD",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109775968",
            "telephone_number": "845-263-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 SCOTLAND HILL RD",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109775968",
            "telephone_number": "845-263-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVALASSE",
        "first_name": "RUTH",
        "middle_name": "GERTRUDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "307547-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Ridge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.