Individual provider Active NPI

Danielle Lynn Ruthberg, FNP

  • Family Nurse Practitioner
  • Stamford, CT
National Provider Identifier
1952082661
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12071 Issued in CT
Practice address
1275 Summer St Ste 306
Stamford, CT 06905-5315
Phone
(203) 978-5775
NPI assigned
Jul 26, 2023
Last updated
Jul 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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 12071 CT Primary

Addresses

Primary practice location

1275 Summer St Ste 306
Stamford, CT 06905-5315

Mailing address

10 S Amundsen LN
Airmont, NY 10901-7518
Phone (845) 558-6958

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

State licenses

LicenseStateTypeSpecialty
12071CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maternal Fetal Care, P.C. CurrentSince Jul 31, 2023 Accepting new patients

Locations

1275 Summer St
Ste 306
Stamford, CT 06905
Phone (203) 900-4194

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, 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": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1952082661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S AMUNDSEN LN",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109017518",
            "telephone_number": "845-558-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 SUMMER ST STE 306",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055315",
            "telephone_number": "203-978-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHBERG",
        "first_name": "DANIELLE",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.