Active NPI
Renee L Ruth, LPN
- Counselor
- Decaturville, TN
National Provider Identifier
1720158819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPN 35736
- Practice address
- 259 W Main St
Decaturville, TN 38329-8033 - Phone
- (731) 852-3112
- Fax
- (731) 852-3222
- NPI assigned
- Nov 8, 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPN 35736 | TN | Primary |
Addresses
Primary practice location
259 W Main St
Decaturville, TN 38329-8033
Mailing address
259 W Main St
Decaturville, TN 38329-8033
Phone (731) 852-3112
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Bolivar, TN
- NPI 1255442794
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPN 35736 | TN | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Centers & Clinics of Tennessee | Past | Accepting new patients |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1720158819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 W MAIN ST",
"city": "DECATURVILLE",
"state": "TN",
"postal_code": "383298033",
"telephone_number": "731-852-3112",
"fax_number": "731-852-3222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 W MAIN ST",
"city": "DECATURVILLE",
"state": "TN",
"postal_code": "383298033",
"telephone_number": "731-852-3112",
"fax_number": "731-852-3222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTH",
"first_name": "RENEE",
"middle_name": "L",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TN",
"license": "LPN 35736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decaturville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.