Active NPI
Jessica Lynne Ruiz, FNP-C
- Family Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1629473236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP7370
- Practice address
- 15715 S 46TH St
Suite 102
Phoenix, AZ 85048-0438 - Phone
- (480) 496-6444
- Fax
- (480) 496-9688
- NPI assigned
- Oct 24, 2014
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP7370 | AZ | Primary |
Addresses
Primary practice location
15715 S 46TH St
Suite 102
Phoenix, AZ 85048-0438
Mailing address
15715 S 46TH St
Suite 102
Phoenix, AZ 85048-0438
Phone (480) 496-6444
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP7370 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald I. Jones M.D,P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414108800000",
"number": "1629473236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15715 S 46TH ST",
"address_2": "SUITE 102",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850480438",
"telephone_number": "480-496-6444",
"fax_number": "480-496-9688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15715 S 46TH ST",
"address_2": "SUITE 102",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850480438",
"telephone_number": "480-496-6444",
"fax_number": "480-496-9688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "JESSICA",
"middle_name": "LYNNE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-24",
"last_updated": "2014-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP7370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.