Active NPI
Yvonne Ann Ruddy-Stein, APRN
- Nurse Practitioner
- Southbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 003121
- Practice address
- 900 Main St S
BLDG 2 Suite 101
Southbury, CT 06488-4237 - Phone
- (203) 262-2300
- Fax
- (203) 262-2305
- NPI assigned
- Jul 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 003121 | CT | |
| Adult Health Nurse Practitioner | 363LA2200X | 003121 | CT | |
| Nurse Practitioner | 363L00000X | 003121 | CT | Primary |
Addresses
Primary practice location
900 Main St S
BLDG 2 Suite 101
Southbury, CT 06488-4237
Mailing address
900 Main St S
BLDG 2 Suite 101
Southbury, CT 06488-4237
Phone (203) 262-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004250148 | Medicaid | CT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | yruddystein225617@direct.stfranciscare.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1075 Chase Park Way
Suite B
Waterbury, CT 06708-2948
Phone (203) 755-6311
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003121 | CT | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Nurse Practitioner | Current | Accepting new patients |
Locations
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
900 Main St S
Southbury, CT 06488
Phone (203) 262-1911
900 Main St S
Bldg 2
Southbury, CT 06488
Phone (203) 255-5078
1075 Chase Pkwy
Ste B
Waterbury, CT 06708
Phone (203) 389-7504
Interoperability endpoints
- yruddystein@direct.wtbyhosp.org
- yruddystein645395@direct.ynhh.org
Organizations & group practices 4
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.
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
Nurse Practitioner
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1477902641
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1760426969
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1992738116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 MAIN ST S",
"address_2": "BLDG 2 SUITE 101",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064884237",
"telephone_number": "203-262-2300",
"fax_number": "203-262-2305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 MAIN ST S",
"address_2": "BLDG 2 SUITE 101",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064884237",
"telephone_number": "203-262-2300",
"fax_number": "203-262-2305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDDY-STEIN",
"first_name": "YVONNE",
"middle_name": "ANN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CT",
"license": "003121",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CT",
"license": "003121",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "003121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004250148",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "yruddystein225617@direct.stfranciscare.org",
"affiliation": "N",
"endpointDescription": "CT Direct email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "900 Main St S",
"address_2": "Bldg 2 Suite 101",
"city": "Southbury",
"state": "CT",
"country_code": "US",
"postal_code": "064884237",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Southbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.