Active NPI
Ruth Marie Niedrich, PT
- Specialist
- Denham Springs, LA
National Provider Identifier
1740479583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 04387R
- Practice address
- 8128 Florida Blvd
Triton Healthcare Inc
Denham Springs, LA 70726 - Phone
- (225) 791-8666
- NPI assigned
- Oct 17, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 04387R | LA | Primary |
Addresses
Primary practice location
8128 Florida Blvd
Triton Healthcare Inc
Denham Springs, LA 70726
Mailing address
6622 Sandstone Ave
Baton Rouge, LA 70808-5119
Phone (225) 766-4336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 196612 | Other | LA | MEDICARE PROVIDER |
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 |
|---|---|---|---|
| 04387R | LA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1740479583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6622 SANDSTONE AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708085119",
"telephone_number": "225-766-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8128 FLORIDA BLVD",
"address_2": "TRITON HEALTHCARE INC",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "70726",
"telephone_number": "225-791-8666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEDRICH",
"first_name": "RUTH",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-17",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "04387R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER",
"identifier": "196612",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denham Springs, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.