Individual provider Active NPI

Ruthie M Maney, R.N.

  • Registered Nurse
  • Menomonee Falls, WI
National Provider Identifier
1912130428
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
97686 Issued in WI
Practice address
N81W13220 Fond Du Lac Ave Apt 1
Menomonee Falls, WI 53051-7205
Phone
(414) 737-8874
NPI assigned
Aug 31, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 97686 WI Primary

Addresses

Primary practice location

N81W13220 Fond Du Lac Ave Apt 1
Menomonee Falls, WI 53051-7205

Mailing address

N81W13220 Fond Du Lac Ave Apt 1
Menomonee Falls, WI 53051-7205
Phone (414) 737-8874

Other identifiers 1

IdentifierTypeStateIssuer
35056900MedicaidWI

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
97686WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1912130428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N81W13220 FOND DU LAC AVE APT 1",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530517205",
            "telephone_number": "414-737-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N81W13220 FOND DU LAC AVE APT 1",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530517205",
            "telephone_number": "414-737-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANEY",
        "first_name": "RUTHIE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "97686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35056900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.