Active NPI
Nichole M Ruch, RN
- Registered Nurse
- High Point, NC
National Provider Identifier
1881429207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.0198624
- Practice address
- 4050 Piedmont Pkwy
High Point, NC 27265-9458 - Phone
- (336) 289-8648
- NPI assigned
- Sep 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 200418 | AK | |
| Registered Nurse | 163W00000X | 95288511 | CA | |
| Registered Nurse | 163W00000X | 2502585 | MN | |
| Registered Nurse | 163W00000X | 853952 | NV | |
| Registered Nurse | 163W00000X | 4704389409 | MI | |
| Registered Nurse | 163W00000X | 192320 | CT | |
| Registered Nurse | 163W00000X | RN-107191-0 | HI | |
| Registered Nurse | 163W00000X | 041532854 | IL | |
| Registered Nurse | 163W00000X | 885179 | NY | |
| Registered Nurse | 163W00000X | RN2365406 | MA | |
| Registered Nurse | 163W00000X | 202207442RN | OR | |
| Registered Nurse | 163W00000X | RN756754 | PA | |
| Registered Nurse | 163W00000X | RN.0198624 | CO | Primary |
Addresses
Primary practice location
4050 Piedmont Pkwy
High Point, NC 27265-9458
Mailing address
4050 Piedmont Pkwy
High Point, NC 27265-9458
Phone (336) 289-8648
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200418 | AK | MD | Registered Nurse |
| 95288511 | CA | MD | Registered Nurse |
| RN.0198624 | CO | MD | Registered Nurse |
| 192320 | CT | MD | Registered Nurse |
| RN-107191-0 | HI | MD | Registered Nurse |
| 041532854 | IL | MD | Registered Nurse |
| RN2365406 | MA | MD | Registered Nurse |
| 4704389409 | MI | MD | Registered Nurse |
| 2502585 | MN | MD | Registered Nurse |
| 853952 | NV | MD | Registered Nurse |
| 885179 | NY | MD | Registered Nurse |
| 202207442RN | OR | MD | Registered Nurse |
| RN756754 | PA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Health Management, Inc. | Current | Accepting new patients |
Locations
4050 Piedmont Pkwy
High Point, NC 27265
Phone (336) 289-8648
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.
-
- Case Management Agency
- High Point, NC
- NPI 1700516630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1881429207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4050 PIEDMONT PKWY",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272659458",
"telephone_number": "336-289-8648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 PIEDMONT PKWY",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272659458",
"telephone_number": "336-289-8648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUCH",
"first_name": "NICHOLE",
"middle_name": "M",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-05",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AK",
"license": "200418",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95288511",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "2502585",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "853952",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704389409",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "192320",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "HI",
"license": "RN-107191-0",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041532854",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "885179",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2365406",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "202207442RN",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN756754",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "RN.0198624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.