Sheryll Ruz

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA0000000707 Issued in TN

Practice address

139 E Old Trenton Rd Ste B
Clarksville, TN 37043-5945

Phone

(931) 444-1449

NPI assigned

Jan 16, 2018

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Blue Sprig Pediatrics

  • Behavior Technician
  • Clarksville, TN
  • NPI 1285577015
  NPD (past)

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1992213607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 E OLD TRENTON RD STE B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435945",
            "telephone_number": "931-444-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 E OLD TRENTON RD STE B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435945",
            "telephone_number": "931-444-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUZ",
        "first_name": "SHERYLL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "LBA0000000707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sruz@bluesprigpediatrics.com",
            "affiliation": "N",
            "address_1": "139 E Old Trenton Rd Ste B",
            "city": "Clarksville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370435945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrea Russum, M.S.
• Ashley Elizabeth Rust, MS, CCC-SLP
• Lindley Rutherford, D.P.T.
• Mary Elizabeth Rutherford, APRN, BC
• Jeffrey Glenn Rutter, PSY.D.
• RX Professionals Inc
• Marie Ryales, RBT
• Amy Jean Ryan, MS, RD, LD
• Cynthia Jean Rye
• Deborah Faye Rye, PHARMACY TECH

• All providers in Clarksville, TN
• Behavior Analyst in Tennessee

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

Verify at the official NPI Registry.