MRS. KHORIASA MARIE RUFFELL LPN
NPI 1154119808
Licensed Practical Nurse in Pleasant Valley, NY

Active since April 30, 2025
6 WALNUT DR, PLEASANT VALLEY, NY 12569(845) 366-9212 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Khoriasa Marie Ruffell Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KHORIASA MARIE RUFFELL LPN (NPI 1154119808) is an individual licensed practical nurse in Pleasant Valley, New York, licensed in New York (332724-01) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1154119808
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. KHORIASA MARIE RUFFELLCredential: LPN
Location Address6 WALNUT DRPleasant Valley, NY 12569-6934
Mailing Address15 Suffern Pl Ste ASuffern, NY 10901-5566
Sole ProprietorNo
Enumeration DateApril 30, 2025
NPPES CertifiedApril 30, 2025
NPI 1154119808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 332724-01
Definition
A licensed practical nurse 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.
6 WALNUT DR, Pleasant Valley, NY 12569

Other Names 1

Former Name (1)Miss Khoriasa Marie Black Lpn

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
6 WALNUT DR
PLEASANT VALLEY, NY 12569

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khoriasa Ruffell's NPI number?

The NPI number for Khoriasa Ruffell is 1154119808. It was assigned to this individual provider in the NPPES registry on April 30, 2025. The provider is also known as Miss Khoriasa Marie Black Lpn.

Where is Khoriasa Ruffell located?

Khoriasa Ruffell practices at 6 Walnut Dr, Pleasant Valley, NY 12569. The listed phone number is (845) 366-9212.

What is Khoriasa Ruffell's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Khoriasa Ruffell was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.