Kathryn Renee Ruliffson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

7447 Issued in AZ

Practice address

2488 E Glenhaven Dr
Phoenix, AZ 85048-8204

Phone

(540) 421-9822

NPI assigned

Mar 9, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Dispatchhealth-Arizona

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1922532944
  Medicare reassignment
• Dispatchhealth-Arizona

  • Emergency Medicine Physician
  • Columbia, MD
  • NPI 1811765449
  NPD
• Central Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Sanford, NC
  • NPI 1164694683
  NPD (past)
• Emergency Physician Services

  • Radiology Clinic/Center
  • Greenville, SC
  • NPI 1720471618
  NPD (past)
• Henderson Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Henderson, NC
  • NPI 1841295904
  NPD (past)
• Nason Medical Center IV, LLC

  • Urgent Care Clinic/Center
  • Charleston, SC
  • NPI 1689972739
  NPD (past)
• Nason Medical Center V, LLC

  • Urgent Care Clinic/Center
  • Summerville, SC
  • NPI 1427306299
  NPD (past)

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

{
    "created_epoch": "1205020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1922278696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 E GLENHAVEN DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850488204",
            "telephone_number": "540-421-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2488 E GLENHAVEN DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850488204",
            "telephone_number": "540-421-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RULIFFSON",
        "first_name": "KATHRYN",
        "middle_name": "RENEE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-09",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53818",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Regina Fukumoto Rukasin, M.D.
• Martha America Rukavena, RN
• Sana Rukh, MD
• Stephanie Rule, CPNP-PC, RN
• William Gary Rule, M.D.
• Sheila Ruling, LISAC
• Karissa Rulison
• Beth G Rumack, NNP
• Kristen F Rumba McCormick, PA-C
• Susan Marie Rumble, PSY.D.

• Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.