Individual provider Active NPI

Ruth Anne Mitchell, RN. BSN, CDE

  • Diabetes Educator Registered Nurse
  • San Jose, CA
National Provider Identifier
1548527310
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
295133 Issued in CA
Practice address
2211 Moorpark Ave
Suite 218
San Jose, CA 95128-2654
Phone
(408) 998-2325
Fax
(408) 998-2022
NPI assigned
Apr 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 295133 CA
Diabetes Educator Registered Nurse 163WD0400X 295133 CA Primary

Addresses

Primary practice location

2211 Moorpark Ave
Suite 218
San Jose, CA 95128-2654

Mailing address

2211 Moorpark Ave
Suite 218
San Jose, CA 95128-2654
Phone (408) 998-2325

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
Bachelor on Science - Nursing, Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1548527310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 MOORPARK AVE",
            "address_2": "SUITE 218",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282654",
            "telephone_number": "408-998-2325",
            "fax_number": "408-998-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 MOORPARK AVE",
            "address_2": "SUITE 218",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282654",
            "telephone_number": "408-998-2325",
            "fax_number": "408-998-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "RUTH",
        "middle_name": "ANNE",
        "credential": "RN. BSN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "295133",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "CA",
            "license": "295133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.