Crisalyn Buenarte Ruiz

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

101367 Issued in AK

Practice address

3541 Corona Cir
Anchorage, AK 99517-1486

Phone

(907) 887-6052

NPI assigned

Jun 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1841815321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 W 47TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995173165",
            "telephone_number": "907-887-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 CORONA CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995171486",
            "telephone_number": "907-887-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "CRISALYN",
        "middle_name": "BUENARTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "AK",
            "license": "101367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martina Rudzinski, SLP
• Mut Ruey
• Amanda Lynn Ruff
• Authur Ruff
• Ryan Ruggles, PHARMD
• Fernanda Ruiz, MS IN CLINICAL PSYCH
• Jasmine Ruiz
• Wilson Oracion Ruiz III
• Alisha Lynne Rukovishnikoff
• Jessica Rumbold

• Assisted Living Facility (Mental Illness) in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Assisted Living Facility (Mental Illness) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.