Active NPI
Ernesto Ruiz Valdes
- Gerontology Nurse Practitioner
- Louisville, KY
National Provider Identifier
1912705328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AG02250101
- Practice address
- 6608 Lincoln Ridge PL Apt 201
Louisville, KY 40228-2596 - Phone
- (502) 678-8956
- NPI assigned
- Mar 4, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | AG02250101 | KY | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | AG02250101 | KY |
Addresses
Primary practice location
6608 Lincoln Ridge PL Apt 201
Louisville, KY 40228-2596
Mailing address
6608 Lincoln Ridge PL Apt 201
Louisville, KY 40228-2596
Phone (502) 678-8956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Park Duvalle Community Health Center, Inc
Practice addresses (Care Compare)
3015 Wilson Ave
Louisville, KY 40211-1969
Phone 50277444011509
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG02250101 | KY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Health Network LLC | Current | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023
Interoperability endpoints
- ernesto.ruiz-valdes.1@27238.direct.athenahealth.com
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741046400000",
"number": "1912705328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6608 LINCOLN RIDGE PL APT 201",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402282596",
"telephone_number": "502-678-8956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6608 LINCOLN RIDGE PL APT 201",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402282596",
"telephone_number": "502-678-8956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ VALDES",
"first_name": "ERNESTO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-04",
"last_updated": "2025-03-04",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "KY",
"license": "AG02250101",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "KY",
"license": "AG02250101",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.