Individual provider Active NPI

Alice M Ruszkowski, APRN

  • Nurse Practitioner
  • Naples, FL
National Provider Identifier
1831171578
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11005045 Issued in FL
Practice address
1135 3Rd Ave S Unit 214
Naples, FL 34102-6562
Phone
(203) 982-8409
NPI assigned
Nov 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1909 CT
Family Nurse Practitioner 363LF0000X 001909 CT
Nurse Practitioner 363L00000X 11005045 FL Primary

Addresses

Primary practice location

1135 3Rd Ave S Unit 214
Naples, FL 34102-6562

Mailing address

1135 3Rd Ave S Unit 214
Naples, FL 34102-6562
Phone (203) 982-8409

Other identifiers 1

IdentifierTypeStateIssuer
004196623MedicaidCT

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
001909CTMDMarriage & Family Therapist
11005045FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1831171578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 3RD AVE S UNIT 214",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026562",
            "telephone_number": "203-982-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 3RD AVE S UNIT 214",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026562",
            "telephone_number": "203-982-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSZKOWSKI",
        "first_name": "ALICE",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "1909",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "001909",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11005045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004196623",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.