Active NPI
Kristine A Ruzycki, APRN BC
- Adult Health Nurse Practitioner
- Norwell, MA
National Provider Identifier
1952374951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 115799
- Practice address
- 143 Longwater Dr
Norwell, MA 02061-1683 - Phone
- (781) 878-5200
- NPI assigned
- Feb 9, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 115799 | MA | Primary |
Addresses
Primary practice location
143 Longwater Dr
Norwell, MA 02061-1683
Mailing address
143 Longwater Dr
Norwell, MA 02061-1683
Phone (781) 878-5200
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115799 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massachusetts Institute of Technology | Past | Accepting new patients |
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.
-
dba MIT Health
- Multi-Specialty Clinic/Center
- Cambridge, MA
- NPI 1346308723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419292800000",
"number": "1952374951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 LONGWATER DR",
"city": "NORWELL",
"state": "MA",
"postal_code": "020611683",
"telephone_number": "781-878-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 LONGWATER DR",
"city": "NORWELL",
"state": "MA",
"postal_code": "020611683",
"telephone_number": "781-878-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUZYCKI",
"first_name": "KRISTINE",
"middle_name": "A",
"credential": "APRN BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-09",
"last_updated": "2014-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "115799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.