Individual provider Active NPI

Trisha Ruby, FNP-C

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1801447032
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0031364 Issued in OH
Practice address
3062 Kingsdale Ctr
Columbus, OH 43221-2020
Phone
(614) 484-1940
Fax
(614) 484-1941
NPI assigned
Sep 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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 APRN.CNP.0031364 OH Primary

Addresses

Primary practice location

3062 Kingsdale Ctr
Columbus, OH 43221-2020

Mailing address

8850 Lyra Dr Ste 364
Columbus, OH 43240-2319
Phone (314) 996-9641

Other practice location 1

1105 Schrock Rd
Columbus, OH 43229-1146
Phone (314) 996-9641

Other identifiers 1

IdentifierTypeStateIssuer
0491440MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220330001564 IL Practitioner - Nurse Practitioner 6800229865 Reassigns benefits to 1 organization
I20220701002102 OH Practitioner - Nurse Practitioner 6800229865 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Urgent Care Inc CurrentSince Feb 1, 2023 Accepting new patients
Arlington Urgent Care Inc CurrentSince Feb 1, 2023 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Jul 11, 2022 Accepting new patients
Physician Services Corporation of Southern Illinois Inc. CurrentSince Mar 15, 2022 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Jul 11, 2022 Accepting new patients

Locations

602 S 42nd St
#A
Mount Vernon, IL 62864
Phone (618) 899-3777

2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

3062 Kingsdale Ctr
Upper Arlngtn, OH 43221
Phone (614) 484-1940

Organizations & group practices 5

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": "1569715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1801447032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8850 LYRA DR STE 364",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432402319",
            "telephone_number": "314-996-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3062 KINGSDALE CTR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212020",
            "telephone_number": "614-484-1940",
            "fax_number": "614-484-1941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Schrock Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432291146",
            "country_code": "US",
            "telephone_number": "314-996-9641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBY",
        "first_name": "TRISHA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-29",
        "last_updated": "2023-11-06",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0031364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0491440",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.