Individual provider Active NPI

Ruth Alicia Duffield, FNP0

  • Family Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1790843142
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201601784NP-PP Issued in OR
Practice address
360 S Garden Way Ste 210
Eugene, OR 97401-8186
Phone
(503) 494-3333
NPI assigned
Dec 5, 2006
Last updated
Oct 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201601784NP-PP OR Primary

Addresses

Primary practice location

360 S Garden Way Ste 210
Eugene, OR 97401-8186

Mailing address

360 S Garden Way Ste 210
Eugene, OR 97401-8186
Phone (503) 346-0644

Other identifiers 1

IdentifierTypeStateIssuer
R187883OtherMEDICARE

Other names 1

  • Miss Ruth A Stamps Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160615001220 OR Practitioner - Nurse Practitioner 5294026621 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201601784NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Professional Services CurrentSince Nov 1, 2018 Accepting new patients
University Professional Services Current Accepting new patients
University Professional Services CurrentSince Nov 1, 2018 Accepting new patients
University Professional Services Past Accepting new patients

Locations

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

360 S Garden Way
Ste 210
Eugene, OR 97401
Phone (503) 346-0644

901 E 18th Ave
Eugene, OR 97403
Phone (541) 346-3575

875 Oak St SE
Salem, OR 97301
Phone (503) 561-5719

875 Oak St SE
Ste 3040
Salem, OR 97301
Phone (503) 494-4808

3333 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-3154

Interoperability endpoints

  • Direct secure messaging: rduffield112405@direct.ohsu.edu

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1790843142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S GARDEN WAY STE 210",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018186",
            "telephone_number": "503-346-0644",
            "fax_number": "503-346-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S GARDEN WAY STE 210",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018186",
            "telephone_number": "503-494-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFIELD",
        "first_name": "RUTH",
        "middle_name": "ALICIA",
        "name_prefix": "Mrs.",
        "credential": "FNP0",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201601784NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "R187883",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "STAMPS",
            "middle_name": "A",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.