Active NPI
Anne Elizabeth Ruden, M.S.CCC/SLP
- Speech-Language Pathologist
- Sherwood, OR
National Provider Identifier
1811169055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12857
- Practice address
- 16100 SW Century Dr
#57
Sherwood, OR 97140-8674 - Phone
- (971) 241-2693
- NPI assigned
- Mar 27, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12857 | OR | Primary |
Addresses
Primary practice location
16100 SW Century Dr
#57
Sherwood, OR 97140-8674
Mailing address
16100 SW Century Dr
#57
Sherwood, OR 97140-8674
Phone (971) 241-2693
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 278549 | Medicaid | OR |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12857 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245024000000",
"number": "1811169055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16100 SW CENTURY DR",
"address_2": "#57",
"city": "SHERWOOD",
"state": "OR",
"postal_code": "971408674",
"telephone_number": "971-241-2693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16100 SW CENTURY DR",
"address_2": "#57",
"city": "SHERWOOD",
"state": "OR",
"postal_code": "971408674",
"telephone_number": "971-241-2693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDEN",
"first_name": "ANNE",
"middle_name": "ELIZABETH",
"credential": "M.S.CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-27",
"last_updated": "2009-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "12857",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "278549",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sherwood, OR
- Phoebe Nicole Robinson, PA-C
- Andrew Mark Robottom, RN
- Rooted Well, LLC (Rooted Well Counseling)
- Brandon Rotap
- Savannah Hailey Rotap, PHYSICAL THERAPIST
- Robert Edward Ruiz, N.M.D.
- Oliver L. Rusher, D.D.S.
- Russell J Kort DC PC (Kort Chiropractic and Rehabilitation)
- Safeway Inc (Safeway Pharmacy #1800)
- Rebecca D. Sander, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.