Individual provider Active NPI

Ruthann Kristen Paulus-Bland, LSW

  • Case Manager/Care Coordinator
  • Wooster, OH
National Provider Identifier
1770779142
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
S0029774 Issued in OH
Practice address
2803 Akron Rd
Wooster, OH 44691-7904
Phone
(330) 264-3232
Fax
(330) 202-3879
NPI assigned
Sep 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X S0029774 OH Primary

Addresses

Primary practice location

2803 Akron Rd
Wooster, OH 44691-7904

Mailing address

2803 Akron Rd
Wooster, OH 44691-7904
Phone (330) 264-3232

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

LicenseStateTypeSpecialty
S0029774OHMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1770779142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 AKRON RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917904",
            "telephone_number": "330-264-3232",
            "fax_number": "330-202-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 AKRON RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917904",
            "telephone_number": "330-264-3232",
            "fax_number": "330-202-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULUS-BLAND",
        "first_name": "RUTHANN",
        "middle_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "S0029774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.