Active NPI
Ruth Ann Wiese, RNC FNP
- Family Nurse Practitioner
- Richmond, VA
National Provider Identifier
1548223175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024123321
- Practice address
- 1300 East Marshal St
North Hospital G004
Richmond, VA 23298 - Phone
- (804) 828-4624
- Fax
- (804) 828-3983
- NPI assigned
- Apr 6, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 0024123321 | VA | Primary |
Addresses
Primary practice location
1300 East Marshal St
North Hospital G004
Richmond, VA 23298
Mailing address
3820 Stratford Rd
Richmond, VA 23225
Phone (804) 560-4025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7785135 | Medicaid | VA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024123321 | VA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548223175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3820 STRATFORD RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23225",
"telephone_number": "804-560-4025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 EAST MARSHAL ST",
"address_2": "NORTH HOSPITAL G004",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23298",
"telephone_number": "804-828-4624",
"fax_number": "804-828-3983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIESE",
"first_name": "RUTH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RNC FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024123321",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7785135",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.