Active NPI
TC Health & Medspa
- Dermatology Physician
- Humboldt, IA
National Provider Identifier
1780411306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- TC HEALTH & MEDSPA
- Doing business as
- TC Health & Med Spa
- Practice address
- 16 Taft St N Ste 1
Humboldt, IA 50548-1704 - Phone
- (515) 570-1069
- Fax
- (515) 600-1108
- NPI assigned
- Sep 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chassidy Ruby, ARNP
- Title
- Owner
- Phone
- (515) 570-1069
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
16 Taft St N Ste 1
Humboldt, IA 50548-1704
Mailing address
16 Taft St N Ste 1
Humboldt, IA 50548-1704
Phone (515) 570-1069
Other names 1
- TC Health & Med Spa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
16 Taft St N
Humboldt, IA 50548
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Belle Plaine, IA
- NPI 1528449881
-
- Medical Physician Assistant
- Humboldt, IA
- NPI 1972365062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756771200000",
"number": "1780411306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 TAFT ST N STE 1",
"city": "HUMBOLDT",
"state": "IA",
"postal_code": "505481704",
"telephone_number": "515-570-1069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 TAFT ST N STE 1",
"city": "HUMBOLDT",
"state": "IA",
"postal_code": "505481704",
"telephone_number": "515-570-1069",
"fax_number": "515-600-1108"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TC HEALTH & MEDSPA",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-17",
"last_updated": "2025-09-02",
"certification_date": "2025-07-14",
"status": "A",
"authorized_official_last_name": "RUBY",
"authorized_official_first_name": "CHASSIDY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "515-570-1069",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "TC Health & Med Spa",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Humboldt, IA
- Daryl Short, DPT,MTC
- Sister's Home Style Entrees
- Shanna Renae Studer, O.D.
- Lucas Daniel Sulentic
- TC Dermatology, PLC
- Amanda J Thul, REGISTERED DIETICIAN
- Katherine Belle Tierney, PHARM.D
- Trimark Physicians Group (UnityPoint Clinic)
- Trimark Physicians Group Inc (Trimark Physicians Group)
- Trinity Regional Medical Center (Unitypoint Clinic Family Medicine Humboldt)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.