Individual provider Active NPI

Taylor Pauline Swart Ruff, CPNP-PC

  • Pediatric Nurse Practitioner
  • Falls Church, VA
National Provider Identifier
1760036693
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024179019 Issued in VA
Practice address
6565 Arlington Blvd Ste 210
Falls Church, VA 22042-3000
Phone
(703) 534-1000
NPI assigned
Jul 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024179019 VA Primary

Addresses

Primary practice location

6565 Arlington Blvd Ste 210
Falls Church, VA 22042-3000

Mailing address

6410 Arlington Blvd Apt 319
Falls Church, VA 22042-2367

Other practice location 1

407 N Washington St Ste 100
Falls Church, VA 22046-3436
Phone (703) 237-5919

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024179019VAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Area Pediatrics, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: taylor.swart.1@16203.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1760036693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 ARLINGTON BLVD APT 319",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220422367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 ARLINGTON BLVD STE 210",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423000",
            "telephone_number": "703-534-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 N Washington St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220463436",
            "country_code": "US",
            "telephone_number": "703-237-5919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUFF",
        "first_name": "TAYLOR",
        "middle_name": "PAULINE SWART",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024179019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.