Kelly B Rumrill, ANP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

21739 Issued in CA

Practice address

65 Aspen Way
Watsonville, CA 95076-6054

Phone

(831) 724-1164

NPI assigned

Jul 11, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1699116202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 ASPEN WAY",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950766054",
            "telephone_number": "831-724-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 ASPEN WAY",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950766054",
            "telephone_number": "831-724-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMRILL",
        "first_name": "KELLY",
        "middle_name": "B",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "21739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Ruiz
• Julie Ruiz
• Karen Ahn Ruiz
• Maria Ruiz, MD/PPS
• Reyna Ruiz
• Renee Russo
• S T Mitchell M D Inc
• S. Scagliotti, Inc.
• Stuart Makoto Sakuma, O.D.
• Farah Fatima Salahuddin, MD

• Adult Health Nurse Practitioner in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.