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Jon Alfredo Ruiz , LPN

Licensed Practical Nurse β€’ Provo, UT

Active NPI 1457981797 Individual Practitioner Male Practitioner
Practice location in NPPES

750 N Freedom Blvd
Provo, UT 846011677

Call 8013734760 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

750 N Freedom Blvd

Provo, UT 846011677

Telephone 8013734760
Fax 8013730639
Organization at the Same NPPES Address or Phone
Wasatch Behavioral Health Special Service District Facility NPI 1356357115

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Provo, UT. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Provo and Utah

11 active clinicians are listed under Licensed Practical Nurse with a practice address in Provo, UT (173 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Provo

0% of these 11 clinicians have the CMS telehealth indicator.

0% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-12-14
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES UT 4852194-3101

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Secondary Practice Locations

151 S University Ave Ste 3200

Provo, UT 846014427

Phone: 8018517128

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Karen Amsden , LCSW

Social Worker - Clinical

NPI 1023109717

Licensed Clinical Social Worker

Gary Webb , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1063962140

Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location December 14, 2021

Registered at 750 N FREEDOM BLVD, PROVO, UT 846011677 (Tel: 8013734760)

πŸ“
Updated Business Mailing Address June 01, 2020

Registered at 750 N FREEDOM BLVD, PROVO, UT 846011677 (Tel: 8013734760)

βœ…
NPI Profile Active January 24, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 24, 2020

Registered at 151 S UNIVERSITY AVE STE 3200, PROVO, UT 846014427 (Tel: 8018517128)

πŸ“
Business Mailing Address (Initial Record) January 24, 2020

Registered at 151 S UNIVERSITY AVE STE 3200, PROVO, UT 846014427 (Tel: 8018517128)

πŸ‘€
Provider Name / Credentials (Initial Record) January 24, 2020

Recorded as JON RUIZ, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2020

Licensed Practical Nurse (license number reported to NPPES: UT 4852194-3101)

🟒
Initial NPI Registration & Enumeration January 24, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1457981797
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2020
Last Update: December 14, 2021
Sole Proprietor: Yes

Mailing Address

750 N Freedom Blvd

Provo, UT 846011677

Phone: 8013734760

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.