Active NPI
Ruth Ann Roy, NP
- Obstetrics & Gynecology Nurse Practitioner
- Lafayette, IN
National Provider Identifier
1700801552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 71000597A
- Practice address
- 3920 St Francis Way
Suite 100
Lafayette, IN 47905-4917 - Phone
- (765) 428-5888
- Fax
- (765) 428-5897
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 71000597A | IN | Primary |
Addresses
Primary practice location
3920 St Francis Way
Suite 100
Lafayette, IN 47905-4917
Mailing address
3920 St Francis Way
Suite 100
Lafayette, IN 47905-4917
Phone (765) 428-5888
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71000597A | IN | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1700801552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920 ST FRANCIS WAY",
"address_2": "SUITE 100",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479054917",
"telephone_number": "765-428-5888",
"fax_number": "765-428-5897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 ST FRANCIS WAY",
"address_2": "SUITE 100",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479054917",
"telephone_number": "765-428-5888",
"fax_number": "765-428-5897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "RUTH",
"middle_name": "ANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "IN",
"license": "71000597A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.