Individual provider Active NPI

Rosa Maria Ruiz

  • Acute Care Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1710446786
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
222541 Issued in AZ
Practice address
1331 N 7TH St
Phoenix, AZ 85006-2754
Phone
(602) 307-0070
NPI assigned
Mar 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 222541 AZ Primary

Addresses

Primary practice location

1331 N 7TH St
Phoenix, AZ 85006-2754

Mailing address

1331 N 7TH St
Phoenix, AZ 85006-2754
Phone (026) 307-0070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200218002677 AZ Practitioner - Nurse Practitioner 5991132698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

19636 N 27TH Ave
Suite 401
Phoenix, AZ 85027-4021
Phone (602) 861-1168

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Sep 19, 2022 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Heart & Vascular Center of Arizona, PLLC CurrentSince Jan 1, 2020 Accepting new patients
Honorhealth Ambulatory CurrentSince Sep 19, 2022 Accepting new patients
Desert Kidney Associates PLC PastSince Sep 23, 2021 Accepting new patients
Honorhealth Ambulatory Acute Care Past Accepting new patients

Locations

6220 W Bell Rd
Ste 120
Glendale, AZ 85308
Phone (480) 587-6614

1331 N 7th St
Ste 375
Phoenix, AZ 85006
Phone (602) 271-9064

19636 N 27th Ave
Ste 401
Phoenix, AZ 85027
Phone (602) 298-8888

9250 N 3rd St
Ste 2000
Phoenix, AZ 85020
Phone (602) 246-9080

1331 N 7th St
Phoenix, AZ 85006
Phone (602) 222-2234

9305 W Thomas Rd
Ste 270
Phoenix, AZ 85037

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Interoperability endpoints

  • Direct secure messaging: rruiz78896@direct.honorhealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1710446786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062754",
            "telephone_number": "026-307-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062754",
            "telephone_number": "602-307-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "ROSA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "222541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.