Mary Kathryn Ruiz, APRN, FNP - C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

67669 Issued in OK

Practice address

2215 N Highway 64
Guymon, OK 73942-2750

Phone

(580) 754-2280

NPI assigned

Jul 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1841808862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 181",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679050181",
            "telephone_number": "580-522-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 N HIGHWAY 64",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739422750",
            "telephone_number": "580-754-2280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 W 15th St",
            "address_purpose": "LOCATION",
            "city": "Liberal",
            "state": "KS",
            "postal_code": "679012464",
            "country_code": "US",
            "telephone_number": "620-417-9012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "credential": "APRN, FNP - C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-79454-112",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "67669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corina Ramirez, FNP-C
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• Paul Michael Reed, DO
• Jessica Rivera Vega
• Hayden Lee Rohr
• Britney Laine Scott, PTA
• L. Loyet Shafer, PH.D.
• Alisa R Sheldon
• Slater Medical Arts Clinic Inc
• Solutions on Staff, LLC

• Family Nurse Practitioner in Guymon, OK
• Providers in Guymon, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.