Individual provider Active NPI

Natasha Kapsaroff-Ruiz, FNP-C

  • Family Nurse Practitioner
  • Latham, NY
National Provider Identifier
1649522756
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337390 Issued in NY
Practice address
654 Watervliet Shaker Rd
Latham, NY 12110
Phone
(518) 218-4455
Fax
(518) 380-2023
NPI assigned
Oct 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 238335 MA
Family Nurse Practitioner 363LF0000X 337390 NY Primary

Addresses

Primary practice location

654 Watervliet Shaker Rd
Latham, NY 12110

Mailing address

654 Watervliet Shaker Rd
Latham, NY 12110
Phone (518) 218-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 5, 2017 through Oct 5, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
238335MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hyman Integrative Therapies PastSince Feb 12, 2023 Accepting new patients
David J Cerniglia DC PC PastSince Oct 20, 2019 Accepting new patients
Integrative Medical Associates of New York, PLLC Past Accepting new patients
Ronald L Stram MD PLLC PastSince Sep 1, 2006 Accepting new patients

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": "1350000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1649522756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 WATERVLIET SHAKER RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "12110",
            "telephone_number": "518-218-4455",
            "fax_number": "518-380-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 WATERVLIET SHAKER RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "12110",
            "telephone_number": "518-218-4455",
            "fax_number": "518-380-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPSAROFF-RUIZ",
        "first_name": "NATASHA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-12",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "238335",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

Verify at the official NPI Registry.