Active NPI
Ruth Elaine Rhoad, R.N. CLINICAL SPECIA
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Gallup, NM
National Provider Identifier
1891991535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- R09238
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| R09238 | NM | MD | Adult 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
- Rehoboth McKinley Christian Health Care Services, Inc
- Rehoboth McKinley Christian Health Care Services, Inc
- Rehoboth McKinley Christian Health Care Services, Inc. (RMCHCS Hospital)
- Davlin Monica Reid, RN
- Jean Reschenthaler
- Helen Rice, RN
- Donna J Rich, PMHNP
- David Richard, BSN, RN
- Sharol Lynn Richards, M.S., CCC-SLP
- Carrie Leigh Richardson
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.