Individual provider Active NPI

Ruby P. Burden, MSN, NP-C

  • Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1871548586
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-051911 Issued in AL
Practice address
1400 Narrow LN P
Bma of Montgomery Baptist CKD Services
Montgomery, AL 36111-2654
Phone
(334) 286-4011
Fax
(334) 286-4108
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-051911 AL Primary

Addresses

Primary practice location

1400 Narrow LN P
Bma of Montgomery Baptist CKD Services
Montgomery, AL 36111-2654

Mailing address

710 Pittman Dr
Union Springs, AL 36089-1201
Phone (334) 286-4011

Other identifiers 1

IdentifierTypeStateIssuer
515-40398OtherALBCBS OF ALABAMA

Other names 1

  • Ms. Ruby Lee Potts Former name

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
Certified Registered Nurse, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
1-051911ALMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1871548586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 PITTMAN DR",
            "city": "UNION SPRINGS",
            "state": "AL",
            "postal_code": "360891201",
            "telephone_number": "334-286-4011",
            "fax_number": "334-286-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NARROW LN P",
            "address_2": "BMA OF MONTGOMERY BAPTIST CKD SERVICES",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361112654",
            "telephone_number": "334-286-4011",
            "fax_number": "334-286-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDEN",
        "first_name": "RUBY",
        "middle_name": "P.",
        "name_prefix": "Ms.",
        "credential": "MSN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-051911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "515-40398",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUBY",
            "last_name": "POTTS",
            "middle_name": "LEE",
            "prefix": "MS.",
            "credential": "MSN, NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.