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

Katie Lee Ruiz, CRNP

Individual provider Nurse Practitioner · NPI 1295219384

Katie Lee Ruiz, CRNP is a Nurse Practitioner in Johnstown, Pennsylvania. Qualified in 2018, 8 years ago. Practices with Dlp Conemaugh Physician Practices LLC, a 284-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
8
Licensed in
PA
In the registry since
2018
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

1 Tech Park Dr Ste 1130
Johnstown, PA 15901-2517
Phone: (814) 475-8760
Fax: (814) 475-8765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP019123 (PA)

Record details

NPI number1295219384
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedSeptember 24, 2018
Last updated in NPPESFebruary 11, 2020
Certification dateFebruary 11, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Dlp Conemaugh Physician Practices Llc — 284 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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