Individual provider Active NPI

Ruth A Brewer, CRNP

  • Family Nurse Practitioner
  • Cuba, NY
National Provider Identifier
1790933901
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F335341-1 Issued in NY
Practice address
140 W Main St
Cuba, NY 14727-1317
Phone
(585) 968-2000
Fax
(585) 968-0371
NPI assigned
Aug 29, 2008
Last updated
Feb 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP009929 PA
Family Nurse Practitioner 363LF0000X F335341-1 NY Primary

Addresses

Primary practice location

140 W Main St
Cuba, NY 14727-1317

Mailing address

140 W Main St
PO Box 307
Cuba, NY 14727-1317
Phone (585) 968-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20131202000670 NY Practitioner - Nurse Practitioner 5991873499 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F335341-1NYMDFamily Nurse Practitioner
SP009929PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cuba Memorial Hospital, Inc. CurrentSince Mar 5, 2013 Accepting new patients
Cuba Memorial Hospital Inc CurrentSince Mar 5, 2013 Accepting new patients
Hematology Clinical Group PastSince Sep 1, 2024 Accepting new patients

Locations

140 W Main St
Cuba, NY 14727
Phone (585) 968-2000

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": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1790933901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W MAIN ST",
            "address_2": "PO BOX 307",
            "city": "CUBA",
            "state": "NY",
            "postal_code": "147271317",
            "telephone_number": "585-968-2000",
            "fax_number": "585-968-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W MAIN ST",
            "city": "CUBA",
            "state": "NY",
            "postal_code": "147271317",
            "telephone_number": "585-968-2000",
            "fax_number": "585-968-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "RUTH",
        "middle_name": "A",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-29",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009929",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F335341-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuba, NY

Sources for this page

Verify at the official NPI Registry.