Active NPI
Ruth A Keen, CERT NURSE MIDWIFE
- Advanced Practice Midwife
- Salem, NH
National Provider Identifier
1679640890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 0433932301
- Practice address
- 45 Stiles Road
Suite 101
Salem, NH 03079 - Phone
- (603) 898-4269
- Fax
- (603) 894-4582
- NPI assigned
- Nov 30, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 0433932301 | NH | Primary |
| Advanced Practice Midwife | 367A00000X | 132446 | MA |
Addresses
Primary practice location
45 Stiles Road
Suite 101
Salem, NH 03079
Mailing address
45 Stiles Road
Suite 101
Salem, NH 03079
Phone (603) 898-4269
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0357189 | Medicaid | MA | |
| 30343666 | Medicaid | NH | |
| CN0133 | Other | MA | BCBS |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132446 | MA | MD | Advanced Practice Midwife |
| 0433932301 | NH | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679640890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 STILES ROAD",
"address_2": "SUITE 101",
"city": "SALEM",
"state": "NH",
"postal_code": "03079",
"telephone_number": "603-898-4269",
"fax_number": "603-894-4582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 STILES ROAD",
"address_2": "SUITE 101",
"city": "SALEM",
"state": "NH",
"postal_code": "03079",
"telephone_number": "603-898-4269",
"fax_number": "603-894-4582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEN",
"first_name": "RUTH",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "CERT NURSE MIDWIFE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NH",
"license": "0433932301",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MA",
"license": "132446",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0357189",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30343666",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "CN0133",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.