Individual provider Active NPI

Kristy Ann Ruis, M.D.

  • Maternal & Fetal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1639218217
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
ME116057 Issued in FL
Practice address
2 Shircliff Way Ste 600
Jacksonville, FL 32204-4762
Phone
(904) 821-7556
Fax
(855) 707-1416
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X P18036 MD
Maternal & Fetal Medicine Physician 207VM0101X 64259 GA
Maternal & Fetal Medicine Physician 207VM0101X ME116057 FL Primary

Addresses

Primary practice location

2 Shircliff Way Ste 600
Jacksonville, FL 32204-4762

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0333

Other practice location 1

980 Johnson Ferry Rd
Suite 660
Atlanta, GA 30342-1626
Phone (404) 847-1580

Other practice location 2

5153 N 9th Ave Ste 201
Pensacola, FL 32504
Phone (850) 416-2477

Other practice location 3

5002 W Lemon St
Tampa, FL 33609-1104
Phone (813) 286-0033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131101001307 FL Practitioner - Obstetrics/Gynecology 1759475593 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P18036MDMDObstetrics & Gynecology Physician
64259GAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Care Florida LLC Obstetrics & Gynecology CurrentSince Jun 10, 2021 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Womens' Health Hospitalists, LLC Obstetrics & Gynecology CurrentSince Jun 10, 2021 Accepting new patients
St. Joseph Physician Enterprise Past Accepting new patients

Locations

14534 Old Saint Augustine Rd
Ste 3430
Jacksonville, FL 32258
Phone (904) 268-5300

1232 King St
Jacksonville, FL 32204
Phone (904) 384-3699

2 Shircliff Way
Ste 600
Jacksonville, FL 32204
Phone (904) 387-2200

13241 Bartram Park Blvd
Unit 1509
Jacksonville, FL 32258
Phone (904) 680-0055

5153 N 9th Ave
Ste 201
Pensacola, FL 32504
Phone (850) 416-2476

5002 W Lemon St
Tampa, FL 33609

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

Interoperability endpoints

  • Direct secure messaging: kristy.ruis@wcfnf.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1639218217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0333",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SHIRCLIFF WAY STE 600",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044762",
            "telephone_number": "904-821-7556",
            "fax_number": "855-707-1416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "980 Johnson Ferry Rd",
            "address_2": "Suite 660",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421626",
            "country_code": "US",
            "telephone_number": "404-847-1580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5153 N 9th Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "32504",
            "country_code": "US",
            "telephone_number": "850-416-2477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5002 W Lemon St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336091104",
            "country_code": "US",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIS",
        "first_name": "KRISTY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "P18036",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "GA",
            "license": "64259",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "FL",
            "license": "ME116057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.