Active NPI
Jeanette Elizabeth Ruby, MD
- Family Medicine Physician
- Seattle, WA
National Provider Identifier
1689834350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00027447
- Practice address
- 1118 16TH Ave E
Seattle, WA 98112-3311 - Phone
- (206) 328-8774
- Fax
- (206) 324-6215
- NPI assigned
- Jun 16, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | RC00058814 | WA | |
| Family Medicine Physician | 207Q00000X | MD00027447 | WA | Primary |
Addresses
Primary practice location
1118 16TH Ave E
Seattle, WA 98112-3311
Mailing address
1118 16TH Avenue East
Seattle, WA 98112-3311
Phone (206) 328-8774
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC00058814 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213574400000",
"number": "1689834350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 16TH AVENUE EAST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981123311",
"telephone_number": "206-328-8774",
"fax_number": "206-324-6215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 16TH AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981123311",
"telephone_number": "206-328-8774",
"fax_number": "206-324-6215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBY",
"first_name": "JEANETTE",
"middle_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-16",
"last_updated": "2008-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "RC00058814",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00027447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.