JON ALFREDO RUIZ LPN
NPI 1457981797
Licensed Practical Nurse in Provo, UT

Q: What is Jon Ruiz's NPI number?

The NPI number for Jon Ruiz is 1457981797. It was assigned to this individual provider in the NPPES registry on January 24, 2020.

Q: What is Jon Ruiz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jon Ruiz was last updated on December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since January 24, 2020

750 N FREEDOM BLVD, PROVO, UT 84601(801) 373-4760(801) 373-0639 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 14, 2021, Jun 1, 2020, Jan 24, 2020 (3 updates tracked since 2020).

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About Jon Alfredo Ruiz Lpn NPPES

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

JON ALFREDO RUIZ LPN (NPI 1457981797) is an individual licensed practical nurse in Provo, Utah, licensed in Utah (4852194-3101) and active in the NPI registry since January 2020. He maintains a secondary practice location in Provo.

NPPES Registry Identity

NPI1457981797

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameJON ALFREDO RUIZCredential: LPN

Location Address750 N FREEDOM BLVDProvo, UT 84601-1677

Mailing Address750 N Freedom BlvdProvo, UT 84601-1677 · (801) 373-4760 · Fax (801) 373-0639

Phone(801) 373-4760

Fax(801) 373-0639

Sole ProprietorYes

Enumeration DateJanuary 24, 2020

Last NPPES UpdateDecember 14, 20213 updates tracked since enumeration

NPPES CertifiedDecember 14, 2021

✔ NPI 1457981797 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 UT · 4852194-3101

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.

750 N FREEDOM BLVD, Provo, UT 84601

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Secondary Practice Location 1

Location 1151 S University Ave Ste 3200Provo, UT 84601-4427 · Phone (801) 851-7128 · Fax (801) 851-7102

Other Providers at the Same Location NPPES 20

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

ELIZA RACHELLE GEDGE PH.D., LP

Psychologist (Clinical)