Taylor Jetton Ruyak, AGACNP-BC, FNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

SP028374 Issued in PA

Practice address

3200 Center Valley Pkwy
Center Valley, PA 18034-9519

Phone

(610) 242-0345

NPI assigned

Aug 19, 2021

Last updated

Nov 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, PA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Good Shepherd Rehabilitation HospitalGroup PAC ID 9335032390, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11391/brand/2/csg/21/fhir/r4
• Direct secure messaging: taylor.ruyak.1@11391.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Good Shepherd Rehabilitation Hospital

  dba Good Shepherd Physician Group

  • Physical Medicine & Rehabilitation Physician
  • Allentown, PA
  • NPI 1427035039
  Medicare reassignment Care Compare group NPD
• Brainerd Primary Care PLLC

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1952049363
  Medicare reassignment NPD
• Good Shepherd Rehabilitation Hospital

  • Rehabilitation Hospital
  • Center Valley, PA
  • NPI 1255374799
  NPD
• Mid-South Home Care Services, LLC

  dba Empatia Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Blue Bell, PA
  • NPI 1467233734
  NPD
• HCR Manorcare Medical Services of Florida LLC

  dba Heartland Care Partners

  • Nurse Practitioner
  • Toledo, OH
  • NPI 1386750420
  NPD

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1710653639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 CENTER VALLEY PKWY",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180349519",
            "telephone_number": "610-242-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 CENTER VALLEY PKWY",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180349519",
            "telephone_number": "610-242-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUYAK",
        "first_name": "TAYLOR",
        "middle_name": "JETTON",
        "credential": "AGACNP-BC, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "29989",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29989",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP028374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Roth
• Rachel Rumble, RD
• Michelle Rummel
• Miranda Katherine Russo
• Mary Rutkowski, D.C.
• Bibiana M Sabates, MD
• Sacred Heart Physical Therapy & Rehab, LLC
• Mohammad Saine, RN
• Jackie Sandy, COTA., LPN
• Julietza Santiago

• Acute Care Nurse Practitioner in Center Valley, PA
• Providers in Center Valley, PA by specialty
• Acute Care Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.