Individual provider Active NPI

Yvonne Ann Ruddy-Stein, APRN

  • Nurse Practitioner
  • Southbury, CT
National Provider Identifier
1992738116
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
003121 Issued in CT
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

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
004250148MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050627000819 CT Practitioner - Nurse Practitioner 5698710929 Reassigns benefits to 2 organizations

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
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

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

LicenseStateTypeSpecialty
003121CTMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Jan 25, 2024 Accepting new patients
Yale University CurrentSince Jan 25, 2024 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Dec 19, 2021 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Nurse Practitioner CurrentSince Dec 19, 2021 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

  • Direct secure messaging: yruddystein@direct.wtbyhosp.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.