Active NPI
Kevin Ruffin
- Ambulance
- Stafford, TX
National Provider Identifier
1861639403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Practice address
- 3984 Bluebonnet Dr
Stafford, TX 77477-3945 - Phone
- (832) 858-1089
- Fax
- (281) 277-1081
- NPI assigned
- Jan 20, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | |||
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
3984 Bluebonnet Dr
Stafford, TX 77477-3945
Mailing address
3984 Bluebonnet Dr
Stafford, TX 77477-3945
Phone (832) 858-1089
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kevin Monta Ruffin Sr | Ambulance | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulance
- Stafford, TX
- NPI 1386881209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232409600000",
"number": "1861639403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3984 BLUEBONNET DR",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774773945",
"telephone_number": "832-858-1089",
"fax_number": "281-277-1081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3984 BLUEBONNET DR",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774773945",
"telephone_number": "832-858-1089",
"fax_number": "281-277-1081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUFFIN",
"first_name": "KEVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-20",
"last_updated": "2009-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": null,
"license": null,
"primary": false
},
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.