Individual provider Active NPI

Stephanie Christine Ruiz, AUD

  • Audiologist
  • Davie, FL
National Provider Identifier
1760904916
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
8910 W State Road 84
Davie, FL 33324-4411
Phone
(954) 315-0477
Fax
(954) 473-1707
NPI assigned
Jul 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X FL Primary

Addresses

Primary practice location

8910 W State Road 84
Davie, FL 33324-4411

Mailing address

8910 W State Road 84
Davie, FL 33324-4411
Phone (954) 315-0477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190301000777 FL Practitioner - Qualified Audiologist 2062751456 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Distribution, LLC CurrentSince Jul 22, 2018 Accepting new patients
Hearusa Inc PastSince Jul 22, 2018 Accepting new patients

Locations

8910 W State Road 84
Davie, FL 33324
Phone (954) 315-0477

3251 Hollywood Blvd
Ste 424
Hollywood, FL 33021
Phone (954) 963-6305

8947 SW 107th Ave
Miami, FL 33176
Phone (305) 595-0840

1005A E Commercial Blvd
Oakland Park, FL 33334
Phone (954) 493-6411

10455 Riverside Dr
West Palm Beach, FL 33410
Phone (800) 323-3277

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 2

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": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1760904916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 W STATE ROAD 84",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244411",
            "telephone_number": "954-315-0477",
            "fax_number": "954-473-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 W STATE ROAD 84",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244411",
            "telephone_number": "954-315-0477",
            "fax_number": "954-473-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "STEPHANIE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.