Ruth Nasieku Kingoo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R212535 Issued in MD

Practice address

5205 Chairmans CT Ste 201a
Frederick, MD 21703-2918

Phone

(240) 629-3939

Fax

(301) 695-4469

NPI assigned

Jul 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Laibon Health LLC

  • Family Nurse Practitioner
  • Frederick, MD
  • NPI 1780549725
  Medicare reassignment NPD Authorized official
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1689227118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2184 MOUNTAINVIEW DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217022813",
            "telephone_number": "240-431-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 CHAIRMANS CT STE 201A",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217032918",
            "telephone_number": "240-629-3939",
            "fax_number": "301-695-4469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2184 Mountainview Dr",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217022813",
            "country_code": "US",
            "telephone_number": "240-431-9068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11637 Terrace Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206023707",
            "country_code": "US",
            "telephone_number": "240-629-3939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5205 Chairmans Ct Ste 201B",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217032918",
            "country_code": "US",
            "telephone_number": "240-629-3939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINGOO",
        "first_name": "RUTH",
        "middle_name": "NASIEKU",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2023-03-07",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R212535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD STATE LICENSE",
            "identifier": "R212535",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssia Louise King, MSW
• Ashley Joy King, PT, DPT
• Caelyn King
• Erin E King, O.T.
• Gabrielle King
• Elinor Blumenthal Kinland, LCSW-C
• Bridgette Kinna
• Caroline Kinna, LMSW
• Danielle Kinnamont
• Victoria Kiphart

• Family Nurse Practitioner in Frederick, MD
• Providers in Frederick, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.