Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crystal Anne Ruby, APRN

Individual provider Acute Care Nurse Practitioner · NPI 1104522853

Crystal Anne Ruby, APRN is a Nurse Practitioner in Salt Lake City, Utah. Qualified in 2022, 4 years ago. Practices with Tooele Clinic Corp, a 64-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
4
Licensed in
UT
In the registry since
2023
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone: (801) 581-2121
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 10826853-4405 (UT)

Record details

NPI number1104522853
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedFebruary 3, 2023
Last updated in NPPESMay 2, 2023
Certification dateMay 2, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Tooele Clinic Corp — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Salt Lake City