Individual provider Active NPI

Ruth Elaine Rhoad, R.N. CLINICAL SPECIA

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Gallup, NM
National Provider Identifier
1891991535
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
R09238 Issued in NM
Practice address
211 W Mesa Ave
Suite 4
Gallup, NM 87301-6382
Phone
(505) 722-7493
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X R09238 NM Primary

Addresses

Primary practice location

211 W Mesa Ave
Suite 4
Gallup, NM 87301-6382

Mailing address

211 W Mesa Ave
Suite 4
Gallup, NM 87301-6382
Phone (505) 722-7493

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

LicenseStateTypeSpecialty
R09238NMMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891991535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W MESA AVE",
            "address_2": "SUITE 4",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873016382",
            "telephone_number": "505-722-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W MESA AVE",
            "address_2": "SUITE 4",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873016382",
            "telephone_number": "505-722-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHOAD",
        "first_name": "RUTH",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "R.N. CLINICAL SPECIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NM",
            "license": "R09238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallup, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.