Active NPI
Janice M Ruelo, MA, CCC-SLP
- Speech-Language Pathologist
- Saint Paul, MN
National Provider Identifier
1598042772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8684
- Practice address
- 1879 Feronia Ave
Saint Paul, MN 55104-3549 - Phone
- (651) 646-4061
- NPI assigned
- Nov 15, 2011
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8684 | MN | Primary |
Addresses
Primary practice location
1879 Feronia Ave
Saint Paul, MN 55104-3549
Mailing address
4209 Washington St NE
Columbia Heights, MN 55421-2853
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8684 | MN | MD | Speech-Language Pathologist |
Interoperability endpoints
- jruelo266835@excellian.direct.allina.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321315200000",
"number": "1598042772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4209 WASHINGTON ST NE",
"city": "COLUMBIA HEIGHTS",
"state": "MN",
"postal_code": "554212853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1879 FERONIA AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551043549",
"telephone_number": "651-646-4061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUELO",
"first_name": "JANICE",
"middle_name": "M",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-15",
"last_updated": "2011-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "8684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.