STACI L RUDDY FNP-C
NPI 1609321439
Nurse Practitioner - Family in Colorado Springs, CO

Active since August 22, 2016
9480 BRIAR VILLAGE PT STE 200, COLORADO SPRINGS, CO 80920(719) 278-3627 Get Directions Write a Review

NPPES record last updated: August 22, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Staci L Ruddy Fnp-c NPPES

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

STACI L RUDDY FNP-C (NPI 1609321439) is an individual family provider in Colorado Springs, Colorado, licensed in Colorado (APN.0992511-NP) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1609321439
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACI L RUDDYCredential: FNP-C
Location Address9480 BRIAR VILLAGE PT STE 200Colorado Springs, CO 80920-7923
Mailing Address9480 Briar Village Pt Ste 200Colorado Springs, CO 80920-7923
Sole ProprietorNo
Enumeration DateAugust 22, 2016
NPI 1609321439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CO · APN.0992511-NP
9480 BRIAR VILLAGE PT STE 200, Colorado Springs, CO 80920

Other Names 1

Former Name (1)Staci L Black

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Family)
9480 BRIAR VILLAGE PT STE 200
COLORADO SPRINGS, CO 80920
Family Medicine
9480 BRIAR VILLAGE PT STE 200
COLORADO SPRINGS, CO 80920
General Practice
9480 BRIAR VILLAGE PT STE 200
COLORADO SPRINGS, CO 80920
Family Medicine
9480 BRIAR VILLAGE PT STE 200
COLORADO SPRINGS, CO 80920
Family Medicine
9480 BRIAR VILLAGE PT STE 200
COLORADO SPRINGS, CO 80920
Counselor (Professional)
9480 BRIAR VILLAGE PT STE 200
COLORADO SPRINGS, CO 80920
Nurse Practitioner (Family)
9480 BRIAR VILLAGE PT STE 200
COLORADO SPRINGS, CO 80920
Family Medicine
9480 BRIAR VILLAGE PT STE 200
COLORADO SPRINGS, CO 80920

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 Staci Ruddy's NPI number?

The NPI number for Staci Ruddy is 1609321439. It was assigned to this individual provider in the NPPES registry on August 22, 2016. The provider is also known as Staci L Black.

Where is Staci Ruddy located?

Staci Ruddy practices at 9480 Briar Village Pt Ste 200, Colorado Springs, CO 80920. The listed phone number is (719) 278-3627.

What is Staci Ruddy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Staci Ruddy was last updated on August 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.