Individual provider Active NPI

Jesse Michelle Ruggles, HIS

  • Hearing Instrument Specialist
  • Twin Falls, ID
National Provider Identifier
1538756135
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA-4207 Issued in ID
Practice address
452 Cheney Dr W Ste 130
Twin Falls, ID 83301-4099
Phone
(208) 404-6764
Fax
(208) 735-1523
NPI assigned
Dec 29, 2020
Last updated
Dec 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA-4207 ID Primary

Addresses

Primary practice location

452 Cheney Dr W Ste 130
Twin Falls, ID 83301-4099

Mailing address

452 Cheney Dr W Ste 130
Twin Falls, ID 83301-4099
Phone (208) 404-6764

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
HA-4207IDMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1538756135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 CHENEY DR W STE 130",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014099",
            "telephone_number": "208-404-6764",
            "fax_number": "208-735-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 CHENEY DR W STE 130",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014099",
            "telephone_number": "208-404-6764",
            "fax_number": "208-735-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGLES",
        "first_name": "JESSE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "ID",
            "license": "HA-4207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.