Stephanie Y Ruffin, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

30101 Issued in WI

Practice address

4861 N Teutonia Ave
Milwaukee, WI 53209-5528

Phone

(414) 252-0575

Fax

(414) 252-0096

NPI assigned

May 16, 2024

Last updated

May 16, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1619726114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6528 N 70TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532235717",
            "telephone_number": "414-519-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4861 N TEUTONIA AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532095528",
            "telephone_number": "414-252-0575",
            "fax_number": "414-252-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFFIN",
        "first_name": "STEPHANIE",
        "middle_name": "Y",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "30101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann L. Ruelle, R.D.
• Rebecca Ruesch
• Colleen Ruetz, APNP
• Melanie E Ruetz
• Janet Ruffin, RN
• Cheryl A Rugg, LCSW
• Antony Ruggeri, M.D.
• Robert S. Ruggero, M.D.
• Carl William Ruggiero, DDS
• Ruh LLC (Mindora Mental Health & Wellness)

• Licensed Practical Nurse in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.