Active NPI
Ruth Alicia Gould
- School Registered Nurse
- Peoria, AZ
National Provider Identifier
1972278265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 231113
- Practice address
- 9970 W Beardsley Rd
Peoria, AZ 85382-2652 - Phone
- (623) 412-5400
- Fax
- (623) 412-5407
- NPI assigned
- Aug 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 231113 | AZ | Primary |
Addresses
Primary practice location
9970 W Beardsley Rd
Peoria, AZ 85382-2652
Mailing address
9970 W Beardsley Rd
Peoria, AZ 85382-2652
Phone (623) 412-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 231113 | Other | AZ | RN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 231113 | AZ | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1972278265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9970 W BEARDSLEY RD",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853822652",
"telephone_number": "623-412-5400",
"fax_number": "623-412-5407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9970 W BEARDSLEY RD",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853822652",
"telephone_number": "623-412-5400",
"fax_number": "623-412-5407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOULD",
"first_name": "RUTH",
"middle_name": "ALICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-10",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "AZ",
"license": "231113",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "231113",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.