Individual provider Active NPI

Ruth Ellen Fish, FNP

  • Family Nurse Practitioner
  • Glens Falls, NY
National Provider Identifier
1942291380
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F330204 Issued in NY
Practice address
102 Park St
Glens Falls, NY 12801-4403
Phone
(518) 926-2940
Fax
(518) 926-2941
NPI assigned
Nov 3, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F330204 NY Primary

Addresses

Primary practice location

102 Park St
Glens Falls, NY 12801-4403

Mailing address

PO Box 304
Glens Falls, NY 12801-0304
Phone (518) 747-1041

Other identifiers 2

IdentifierTypeStateIssuer
P00007684OtherNYRR MEDICARE
02326901MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F330204NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Glens Falls Hospital Inc. CurrentSince Oct 1, 2000 Accepting new patients
Glens Falls Hospital Inc CurrentSince Oct 1, 2000 Accepting new patients

Locations

319 Broadway
Fort Edward, NY 12828
Phone (518) 496-2793

319 Broadway
Uppr
Fort Edward, NY 12828
Phone (518) 747-2811

102 Park St
Glens Falls, NY 12801
Phone (518) 793-5601

79 North St
Granville, NY 12832
Phone (518) 642-0612

Interoperability endpoints

  • Direct secure messaging: rfish98665@albanymed.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1942291380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128010304",
            "telephone_number": "518-747-1041",
            "fax_number": "518-747-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PARK ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014403",
            "telephone_number": "518-926-2940",
            "fax_number": "518-926-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISH",
        "first_name": "RUTH",
        "middle_name": "ELLEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F330204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00007684",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02326901",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.