Individual provider Active NPI

Ruth Ann Oman, ARNP

  • Family Nurse Practitioner
  • Medical Lake, WA
National Provider Identifier
1689864159
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60147816 Issued in WA
Practice address
S 2320 Salnave Rd
Medical Lake, WA 99022-0200
Phone
(509) 299-1978
NPI assigned
Jul 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00103657 WA
Family Nurse Practitioner 363LF0000X AP60147816 WA Primary

Addresses

Primary practice location

S 2320 Salnave Rd
Medical Lake, WA 99022-0200

Mailing address

2908 E Cleveland Ave
Spokane, WA 99207-5558
Phone (509) 251-4739

Other practice location 1

820 S McClellan St Ste 200
Spokane, WA 99204-2456
Phone (509) 474-4220

Other practice location 2

214 E Central Suite 440
Spokane, WA 99208
Phone (509) 474-4220

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address roman341456@wm.providencedirect.org Direct

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
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
House Neuro-Rehabilitation Medicine PC PastSince Jan 10, 2021 Accepting new patients
Northwest Medical Rehabilitation PastSince Jan 31, 1996 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: roman341456@wm.providencedirect.org

Organizations & group practices 2

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": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1689864159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 E CLEVELAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992075558",
            "telephone_number": "509-251-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S 2320 SALNAVE RD",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990220200",
            "telephone_number": "509-299-1978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 S McClellan St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042456",
            "country_code": "US",
            "telephone_number": "509-474-4220",
            "fax_number": "509-227-7070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 E CENTRAL SUITE 440",
            "address_purpose": "LOCATION",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99208",
            "country_code": "US",
            "telephone_number": "509-474-4220",
            "fax_number": "509-474-2202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMAN",
        "first_name": "RUTH",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2021-07-14",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00103657",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60147816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "roman341456@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "214 E CENTRAL SUITE 440",
            "city": "SPOKANE",
            "state": "WA",
            "country_code": "US",
            "postal_code": "99208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Medical Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.