Individual provider Active NPI

Lawanda Witt Ruffner, NP

  • Adult Health Nurse Practitioner
  • Fletcher, NC
National Provider Identifier
1770962235
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5007856 Issued in NC
Practice address
57 Howard Gap Rd
Fletcher, NC 28732
Phone
(828) 483-4330
Fax
(828) 483-5417
NPI assigned
May 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 5007856 NC Primary
Nurse Practitioner 363L00000X 239851 NC

Addresses

Primary practice location

57 Howard Gap Rd
Fletcher, NC 28732

Mailing address

310 Overlook Rd Ste B
Asheville, NC 28803-3319
Phone (828) 438-5788

Other practice location 1

800 N Justice St
Hendersonville, NC 28791-3410
Phone (828) 694-4548

Other practice location 2

31 California Ave
Marion, NC 28752-9389
Phone (828) 559-3399

Other identifiers 4

IdentifierTypeStateIssuer
NP3453MedicaidSC
1770962235MedicaidNC
19F0KOtherNCBCBS NC
NCQ228BOtherNCMEDICARE PTAN

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5007856NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MH Blue Ridge Medical Center, LLLP Nurse Practitioner Past Accepting new patients

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": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1770962235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 OVERLOOK RD STE B",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033319",
            "telephone_number": "828-438-5788",
            "fax_number": "828-333-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 HOWARD GAP RD",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "28732",
            "telephone_number": "828-483-4330",
            "fax_number": "828-483-5417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 N Justice St",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "287913410",
            "country_code": "US",
            "telephone_number": "828-694-4548",
            "fax_number": "828-694-4547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 California Ave",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287529389",
            "country_code": "US",
            "telephone_number": "828-559-3399",
            "fax_number": "828-687-7858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUFFNER",
        "first_name": "LAWANDA",
        "middle_name": "WITT",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-29",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5007856",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "239851",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3453",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770962235",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "19F0K",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NCQ228B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fletcher, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.