Sammie Shelton Ruiz, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN199363 Issued in CA

Practice address

2780 W Adams Ave
Fresno, CA 93706-9601

Phone

(559) 264-6046

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1982811824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 W PRINCETON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937226804",
            "telephone_number": "559-276-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 W ADAMS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937069601",
            "telephone_number": "559-264-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "SAMMIE",
        "middle_name": "SHELTON",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN199363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RVN003930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marc Ruiz
• Maricela Ruiz
• Michael B Ruiz
• Rosio Ruiz
• Ruben Ruiz, BA
• Sofia Camila Ruiz
• Ursula Ruiz
• Sarah Ruth Ruminson
• Caroline Elizabeth Runco, DO
• Martha Mae Runderson

• Licensed Vocational Nurse in Fresno, CA
• Providers in Fresno, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.