Provider Demographics
NPI:1619338993
Name:BARONE, RUTH ELLEN (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:ELLEN
Last Name:BARONE
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 EXECUTIVE PARK
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4202
Mailing Address - Country:US
Mailing Address - Phone:502-907-0356
Mailing Address - Fax:502-919-9780
Practice Address - Street 1:320 THOMAS MORE PKWY STE 202
Practice Address - Street 2:
Practice Address - City:CRESTVIEW HILLS
Practice Address - State:KY
Practice Address - Zip Code:41017-3456
Practice Address - Country:US
Practice Address - Phone:593-310-4328
Practice Address - Fax:859-331-0956
Is Sole Proprietor?:No
Enumeration Date:2016-03-14
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.18905-NP363LF0000X
KY3010272363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0169555Medicaid
PDZ000000084291OtherAETNA BETTER HEALTH PIN
KY7100542740Medicaid
IN300014658Medicaid
000001184828OtherANTHEM PIN
CS1829700441OtherCARESOURCE ID