Individual provider Active NPI

Paula Lynn Ruffin, DC

  • Chiropractor
  • New Hudson, MI
National Provider Identifier
1578596367
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
PR007680 Issued in MI
Practice address
30033 Shefpo
New Hudson, MI 48165
Phone
(248) 486-5684
Fax
(248) 486-5686
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X PR007680 MI Primary

Addresses

Primary practice location

30033 Shefpo
New Hudson, MI 48165

Mailing address

30033 Shefpo
PO Box 315
New Hudson, MI 48165
Phone (248) 486-5684

Other identifiers 2

IdentifierTypeStateIssuer
950F328890OtherMIBCBS OF MI
NE008753OtherMIM-CARE

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

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1578596367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30033 SHEFPO",
            "address_2": "PO BOX 315",
            "city": "NEW HUDSON",
            "state": "MI",
            "postal_code": "48165",
            "telephone_number": "248-486-5684",
            "fax_number": "248-486-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30033 SHEFPO",
            "city": "NEW HUDSON",
            "state": "MI",
            "postal_code": "48165",
            "telephone_number": "248-486-5684",
            "fax_number": "248-486-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFFIN",
        "first_name": "PAULA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "PR007680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "950F328890",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE",
            "identifier": "NE008753",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hudson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.