Active NPI
Ruth C Wilson, ARNP
- Pediatric Nurse Practitioner
- Rockledge, FL
National Provider Identifier
1881844942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- ARNP898842
- Practice address
- 134 S Woods Dr
Rockledge, FL 32955-3262 - Phone
- (321) 636-3066
- Fax
- (321) 636-2545
- NPI assigned
- Sep 25, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | ARNP898842 | FL | Primary |
Addresses
Primary practice location
134 S Woods Dr
Rockledge, FL 32955-3262
Mailing address
134 S Woods Dr
Rockledge, FL 32955-3262
Phone (321) 636-3066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000437200 | Medicaid | FL |
Other names 1
- Ruth Constance Gremillion
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP898842 | FL | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379548800000",
"number": "1881844942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 S WOODS DR",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329553262",
"telephone_number": "321-636-3066",
"fax_number": "321-636-2545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 S WOODS DR",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329553262",
"telephone_number": "321-636-3066",
"fax_number": "321-636-2545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "RUTH",
"middle_name": "C",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-25",
"last_updated": "2013-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "ARNP898842",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000437200",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RUTH",
"last_name": "GREMILLION",
"middle_name": "CONSTANCE",
"credential": "RN BSN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.