Individual provider Active NPI

Ruth Elizabeth Moore, APRN, CNP

  • Family Nurse Practitioner
  • Gallipolis, OH
National Provider Identifier
1720501216
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN80502 Issued in WV
Practice address
499 Jackson Pike Ste D
Gallipolis, OH 45631-1399
Phone
(740) 441-2958
Fax
(740) 441-2947
NPI assigned
Jul 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.020869 OH
Family Nurse Practitioner 363LF0000X APRN80502 WV Primary
Family Nurse Practitioner 363LF0000X 020869 OH

Addresses

Primary practice location

499 Jackson Pike Ste D
Gallipolis, OH 45631-1399

Mailing address

499 Jackson Pike Ste D
Gallipolis, OH 45631-1399
Phone (740) 441-2957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 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

Enrollment IDStateProvider typePAC IDDetails
I20171012002045 WV Practitioner - Nurse Practitioner 6507131885
I20181025002578 OH Practitioner - Nurse Practitioner 6507131885 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020869OHMDFamily Nurse Practitioner
APRN.CNP.020869OHMDFamily Nurse Practitioner
APRN80502WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Point Pleasant Physician Billing Services CurrentSince Nov 1, 2017 Accepting new patients
James R. Toothman DO PLLC CurrentSince May 3, 2023 Accepting new patients
Gallia County Commissioners CurrentSince Dec 29, 2025 Accepting new patients
Canaday Care, LLC PastSince Jul 1, 2022 Accepting new patients

Locations

311 Buck Ridge Rd
Bidwell, OH 45614
Phone (740) 446-7150

499 Jackson Pike
Ste D
Gallipolis, OH 45631
Phone (740) 441-2018

995 Jackson Pike
Ste 102
Gallipolis, OH 45631
Phone (304) 674-7278

601 Avery St
Ste 501
Parkersburg, WV 26101
Phone (304) 422-3904

2520 Valley Dr
Ste 112
Point Pleasant, WV 25550
Phone (304) 553-3364

2520 Valley Dr
Ste 113
Pt Pleasant, WV 25550
Phone (304) 675-1020

2501 Jackson Ave
Pt Pleasant, WV 25550
Phone (304) 675-2303

2414 Jefferson Ave
Pt Pleasant, WV 25550
Phone (304) 675-1244

Interoperability endpoints

  • Direct secure messaging: ruth.moore.1@15732.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1720501216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 JACKSON PIKE STE D",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311399",
            "telephone_number": "740-441-2957",
            "fax_number": "740-441-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 JACKSON PIKE STE D",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311399",
            "telephone_number": "740-441-2958",
            "fax_number": "740-441-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "RUTH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.020869",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN80502",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "020869",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallipolis, OH

Sources for this page

Verify at the official NPI Registry.