Active NPI
Rosa Ana Ruiz
- Clinical Social Worker
- Fort Hood, TX
National Provider Identifier
1679121826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 58892
- Practice address
- Carl R. Darnall Army Medical Center
36065 Santa Fe Ave
Fort Hood, TX 76544 - Phone
- (254) 553-5319
- NPI assigned
- Aug 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 58892 | TX | Primary |
Addresses
Primary practice location
Carl R. Darnall Army Medical Center
36065 Santa Fe Ave
Fort Hood, TX 76544
Mailing address
Carl R. Darnall Army Medical Center
36065 Santa Fe Ave
Fort Hood, TX 76544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58892 | Other | TX | TEXS STATE BOARD OF SOCIAL WORKER EXAMINERS |
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 |
|---|---|---|---|
| 58892 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567123200000",
"number": "1679121826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CARL R. DARNALL ARMY MEDICAL CENTER",
"address_2": "36065 SANTA FE AVE",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "76544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARL R. DARNALL ARMY MEDICAL CENTER",
"address_2": "36065 SANTA FE AVE",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-553-5319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "ROSA",
"middle_name": "ANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-30",
"last_updated": "2019-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "58892",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXS STATE BOARD OF SOCIAL WORKER EXAMINERS",
"identifier": "58892",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Hood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.