Ruby Sharon Allen, RN

Individual provider Active NPI General Practice Registered Nurse · Bishop, CA

NPI 1982143475 · NPPES record last updated Feb 16, 2017

Key facts

NPI
1982143475
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Registered Nurse 163WG0000X
License
369659 (CA)
Practice address
44-B Tu Su Lane
Bishop, CA 93514-8058
Phone
(760) 873-7611
Fax
(760) 873-3935
NPI assigned
Feb 16, 2017
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
369659CAMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Toiyabe Indian Health Project, Inc Past
since Jun 11, 2015
Accepting new patients
Toiyabe Indian Health Project, Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 369659 CA Yes

Addresses

Primary practice location

44-B Tu Su Lane
Bishop, CA 93514-8058

Mailing address

52 Tu Su Lane
Bishop, CA 93514-8058
Phone (760) 873-8464

Other names

  • Ruby Sharon Hanou Former name

Other providers in Bishop, CA

All providers in Bishop, CA · General Practice Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.