Active NPI
Lawanda Witt Ruffner, NP
- Adult Health Nurse Practitioner
- Fletcher, NC
National Provider Identifier
1770962235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 5007856
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP3453 | Medicaid | SC | |
| 1770962235 | Medicaid | NC | |
| 19F0K | Other | NC | BCBS NC |
| NCQ228B | Other | NC | MEDICARE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5007856 | NC | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Rural Health Clinic/Center
- Spruce Pine, NC
- NPI 1720556269
Nurse Practitioner
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.