Individual provider Active NPI

Shellsea Spring Ruden

  • Family Nurse Practitioner
  • Round Rock, TX
National Provider Identifier
1700552486
Registry record updated Aug 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143450 Issued in TX
Practice address
600 Round Rock West Dr Ste 703
Round Rock, TX 78681-5005
Phone
(512) 919-4481
NPI assigned
Aug 21, 2021
Last updated
Aug 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP143450 TX Primary

Addresses

Primary practice location

600 Round Rock West Dr Ste 703
Round Rock, TX 78681-5005

Mailing address

501 Yosemite TRL
Taylor, TX 76574-7024
Phone (512) 350-9414

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP143450TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1629504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629504000000",
    "number": "1700552486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 YOSEMITE TRL",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765747024",
            "telephone_number": "512-350-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ROUND ROCK WEST DR STE 703",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815005",
            "telephone_number": "512-919-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDEN",
        "first_name": "SHELLSEA",
        "middle_name": "SPRING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-21",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.