Individual provider Active NPI

Ruth Taylor, NP

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1750494191
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
FNP9164 Issued in CA
Practice address
2400 Wible Rd
Ste 14
Bakersfield, CA 93304
Phone
(661) 835-1240
Fax
(661) 835-4667
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X FNP9164 CA Primary

Addresses

Primary practice location

2400 Wible Rd
Ste 14
Bakersfield, CA 93304

Mailing address

PO Box 1559
Ste 400 1430 Truxtun Ave
Bakerfield, CA 93302-1559
Phone (661) 635-3050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040729001496 CA Practitioner - Nurse Practitioner 7618947284

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
FNP9164CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1750494191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "address_2": "STE 400 1430 TRUXTUN AVE",
            "city": "BAKERFIELD",
            "state": "CA",
            "postal_code": "933021559",
            "telephone_number": "661-635-3050",
            "fax_number": "661-869-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WIBLE RD",
            "address_2": "STE 14",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93304",
            "telephone_number": "661-835-1240",
            "fax_number": "661-835-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "RUTH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "FNP9164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.