Active NPI
Ruth V Roldan
- Assistant Behavior Analyst
- Durham, NC
National Provider Identifier
1922822154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Practice address
- 1000 Park Forty PLZ
Durham, NC 27713-5249 - Phone
- (919) 480-2800
- NPI assigned
- Nov 13, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NC | ||
| Assistant Behavior Analyst | 106E00000X | NC | Primary |
Addresses
Primary practice location
1000 Park Forty PLZ
Durham, NC 27713-5249
Mailing address
1000 Park Forty PLZ
Durham, NC 27713-5249
Phone (919) 480-2800
Other names 1
- Ruth V Gillis
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1922822154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 PARK FORTY PLZ",
"city": "DURHAM",
"state": "NC",
"postal_code": "277135249",
"telephone_number": "919-480-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 PARK FORTY PLZ",
"city": "DURHAM",
"state": "NC",
"postal_code": "277135249",
"telephone_number": "919-480-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLDAN",
"first_name": "RUTH",
"middle_name": "V",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-13",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RUTH",
"last_name": "GILLIS",
"middle_name": "V",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.