MS. SHANNON ALEXANDER RUTH PA
NPI 1720250087
Physician Assistant - Medical in Luling, TX

Active since March 27, 2008
130 HAYS ST, SUITE D, LULING, TX 78648(830) 875-3445(830) 875-3765 Get Directions Write a Review

NPPES record last updated: November 8, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Shannon Alexander Ruth Pa NPPES

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

MS. SHANNON ALEXANDER RUTH PA (NPI 1720250087) is an individual medical provider in Luling, Texas, licensed in Texas (PA05863) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1720250087
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. SHANNON ALEXANDER RUTHCredential: PA
Location Address130 HAYS ST, SUITE DLuling, TX 78648-3207
Mailing Address130 Hays St, Suite DLuling, TX 78648-3207 · (830) 875-3445 · Fax (830) 875-3765
Fax(830) 875-3765
Sole ProprietorNo
Enumeration DateMarch 27, 2008
Last NPPES UpdateNovember 8, 2012
NPI 1720250087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TX · PA05863
130 HAYS ST, Luling, TX 78648

Other Identifiers 2

Medicare PINTXB156153TX
Medicaid280084902TX

Accepted Insurance

Other Providers at the Same Location NPPES 15

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

Clinic/Center (Community Health)
130 HAYS ST
LULING, TX 78648
Emergency Medicine
130 HAYS ST
LULING, TX 78648
Family Medicine
130 HAYS ST
LULING, TX 78648
Social Worker (Clinical)
130 HAYS ST
LULING, TX 78648
Family Medicine
130 HAYS ST
LULING, TX 78648
General Acute Care Hospital (Critical Access)
130 HAYS ST
LULING, TX 78648
Clinic/Center (Rural Health)
130 HAYS ST, STE B
LULING, TX 78648
Nurse Anesthetist, Certified Registered
130 HAYS ST
LULING, TX 78648

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 Shannon Ruth's NPI number?

The NPI number for Shannon Ruth is 1720250087. It was assigned to this individual provider in the NPPES registry on March 27, 2008.

Where is Shannon Ruth located?

Shannon Ruth practices at 130 Hays St Suite D, Luling, TX 78648. The listed phone number is (830) 875-3445.

What is Shannon Ruth's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

What insurance does Shannon Ruth accept?

Health plans from WellPoint list Shannon Ruth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Ruth was last updated on November 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.