Individual provider Active NPI

Ruth A. Miner, R.N., C.N.P., BS

  • Community Health Nurse Practitioner
  • Murphysboro, IL
National Provider Identifier
1639401706
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
License
209002528 Issued in IL
Practice address
415 Health Department Rd
Murphysboro, IL 62966-6108
Phone
(618) 684-3143
Fax
(618) 687-1255
NPI assigned
Feb 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X 209002528 IL Primary

Addresses

Primary practice location

415 Health Department Rd
Murphysboro, IL 62966-6108

Mailing address

415 Health Department Rd
Murphysboro, IL 62966-6108
Phone (618) 684-3143

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
Credentials
Bachelor of Science, Certified Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
209002528ILMDCommunity Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1639401706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 HEALTH DEPARTMENT RD",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629666108",
            "telephone_number": "618-684-3143",
            "fax_number": "618-687-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 HEALTH DEPARTMENT RD",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629666108",
            "telephone_number": "618-684-3143",
            "fax_number": "618-687-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "RUTH",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "R.N., C.N.P., BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "IL",
            "license": "209002528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphysboro, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.