Individual provider Active NPI

Ruth Ann Dussert, LE

  • Other Specialist/Technologist
  • Santa Barbara, CA
National Provider Identifier
1700694700
Registry record updated Dec 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
License
9635 Issued in CA
Practice address
5276 Hollister Ave Ste 104
Santa Barbara, CA 93111-3052
Phone
(805) 964-5276
NPI assigned
Dec 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X 9635 CA Primary

Addresses

Primary practice location

5276 Hollister Ave Ste 104
Santa Barbara, CA 93111-3052

Mailing address

413 Foxen Dr
Santa Barbara, CA 93105-2510
Phone (805) 259-6141

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
9635CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1734739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734739200000",
    "number": "1700694700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 FOXEN DR",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931052510",
            "telephone_number": "805-259-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5276 HOLLISTER AVE STE 104",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931113052",
            "telephone_number": "805-964-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSSERT",
        "first_name": "RUTH",
        "middle_name": "ANN",
        "credential": "LE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-21",
        "last_updated": "2024-12-21",
        "certification_date": "2024-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "CA",
            "license": "9635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2024; 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.