Individual provider Active NPI

Yanira C. Ruiz-Perdomo, FNP-BC

  • Family Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1831208495
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0001127160 Issued in VA
Practice address
Nih Niams Community Health Clinic
10 Center Drive, BLDG 10, RM 6N216
Bethesda, MD 20892-0001
Phone
(301) 451-0033
Fax
(202) 673-0012
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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 0001127160 VA Primary

Addresses

Primary practice location

Nih Niams Community Health Clinic
10 Center Drive, BLDG 10, RM 6N216
Bethesda, MD 20892-0001

Mailing address

14427 Black Horse CT
Centreville, VA 20120-2835
Phone (703) 371-0805

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

State licenses

LicenseStateTypeSpecialty
0001127160VAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1831208495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14427 BLACK HORSE CT",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201202835",
            "telephone_number": "703-371-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NIH NIAMS COMMUNITY HEALTH CLINIC",
            "address_2": "10 CENTER DRIVE, BLDG 10, RM 6N216",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920001",
            "telephone_number": "301-451-0033",
            "fax_number": "202-673-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ-PERDOMO",
        "first_name": "YANIRA",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0001127160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.