Active NPI
Elizabeth Ruiz
- Registered Nurse
- Fort Stockton, TX
National Provider Identifier
1629672464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 716603
- Practice address
- 310 W 14TH St
Fort Stockton, TX 79735-3210 - Phone
- (432) 530-6169
- NPI assigned
- Nov 23, 2020
- Last updated
- Nov 23, 2020
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 716603 | TX | Primary |
Addresses
Primary practice location
310 W 14TH St
Fort Stockton, TX 79735-3210
Mailing address
310 W 14TH St
Fort Stockton, TX 79735-3210
Phone (432) 530-6169
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 |
|---|---|---|---|
| 716603 | TX | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1629672464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 W 14TH ST",
"city": "FORT STOCKTON",
"state": "TX",
"postal_code": "797353210",
"telephone_number": "432-530-6169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 W 14TH ST",
"city": "FORT STOCKTON",
"state": "TX",
"postal_code": "797353210",
"telephone_number": "432-530-6169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-23",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "716603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Stockton, TX
- Pecos County Memorial Hospital District (Pecos County Memorial Hospital Home Health & Hospice)
- Pecos County Memorial Hospital District
- Pecos County Memorial Hospital District
- Pecos County Memorial Hospital District (Family Care Center)
- Veronica Linda Reynolds, CWHNP, PHD
- Janette M Ruiz
- Rural Dental Care Solutions, PLLC (Children's General Dentistry of Fort Stockton)
- Kathleen Sarabia, FNP
- Alberto Sauceda, PA-C
- Keith William Seidel, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.