Carol Jean S. Ruenprom, RN, BSN, PHN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN500394 Issued in CA

Practice address

523 N Chardonnay Dr
Covina, CA 91723-1564

Phone

(209) 814-4271

NPI assigned

Oct 17, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1609592039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 N CHARDONNAY DR",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231564",
            "telephone_number": "209-814-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 N CHARDONNAY DR",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231564",
            "telephone_number": "209-814-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUENPROM",
        "first_name": "CAROL JEAN",
        "middle_name": "S.",
        "credential": "RN, BSN, PHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "RN500394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://npiregistry.cms.hhs.gov/",
            "affiliation": "N",
            "endpointDescription": "NPI Registry",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "523 N Chardonnay Dr",
            "city": "Covina",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917231564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jossue Rubio
• Noemi Rubio
• Steven Rucker, RAC
• Cheryl Ruedi
• Raul Ruelas, PA
• Van Ruesch Stehly
• Amber Ruffin
• Marisol Ruiz Ibanez
• Alexa Aileen Ruiz
• Esteban Ruiz

• Community Health Registered Nurse in Covina, CA
• Providers in Covina, CA by specialty
• Community Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.