Active NPI
Ruby Ann Roy, NURSE PRACTITIONER
- Family Nurse Practitioner
- Junction City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 57-77958-081
- Practice address
- 1123 Cannon View LN Apt 11
Junction City, KS 66441-4567 - Phone
- (407) 230-2532
- NPI assigned
- Feb 14, 2018
- Last updated
- Feb 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 57-77958-081 | KS | Primary |
Addresses
Primary practice location
1123 Cannon View LN Apt 11
Junction City, KS 66441-4567
Mailing address
1123 Cannon View LN Apt 11
Junction City, KS 66441-4567
Phone (407) 230-2532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, FL, TX, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2900 Somersworth CT
Orlando, FL 32835-6142
424 Church St
Nashville, TN 37219-2301
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57-77958-081 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Physician Services of Texas, P.a. | Single Specialty | Current | Accepting new patients |
| Matrix Medical Plus | Single Specialty | Current | Accepting new patients |
| Community Care Health Network LLC | Single Specialty | Current | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
2202 N West Shore Blvd
Tampa, FL 33607
Phone (813) 416-4680
2202 N West Shore Blvd
Ste 200
Tampa, FL 33607
Phone (317) 452-4352
312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023
121 Washington Ave N
Fl 4
Minneapolis, MN 55401
Phone (404) 992-2702
424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721
250 E Wisconsin Ave
Fl 18
Milwaukee, WI 53202
Phone (303) 748-5781
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Matrix Medical Network
- Nurse Practitioner
- Nashville, TN
- NPI 1619368842
FL, Single Specialty
-
- Nurse Practitioner
- Abilene, TX
- NPI 1043529944
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518566400000",
"number": "1508366782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1123 CANNON VIEW LN APT 11",
"city": "JUNCTION CITY",
"state": "KS",
"postal_code": "664414567",
"telephone_number": "407-230-2532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1123 CANNON VIEW LN APT 11",
"city": "JUNCTION CITY",
"state": "KS",
"postal_code": "664414567",
"telephone_number": "407-230-2532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "RUBY ANN",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-14",
"last_updated": "2018-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "57-77958-081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Junction City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.