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Export Provider Record NPI 1063570620
Ruby Marie-NorthrupDO
Active
NPI Number1063570620
NPI TypeNPI-1 Individual
SpecialtyFamily Medicine
Provider Details
NPI1063570620
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-12-05
Last Updated2024-07-26
Mailing Address6041 Village Dr Ste 110
Lincoln, NE 68516-5774
United States
Phone: (402) 484-5656 | Fax: (402) 484-5741
📍 View Map
Primary Practice Address6041 Village Dr Ste 110
Lincoln, NE 68516-5774
United States
Phone: (402) 484-5656 | Fax: (402) 484-5741
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDNE47083425413
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No207R00000X – Internal MedicineNE233
Yes207Q00000X – Family MedicineNE233
Export Provider Record NPI 1063570620
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About NPI 1063570620

Ruby Marie-Northrup DO is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063570620. The primary specialty listed is Family Medicine. The provider is located in Lincoln, NE. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-12-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1063570620?

NPI 1063570620 belongs to Ruby Marie-Northrup DO, a Family Medicine in Lincoln, NE. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1063570620 active?

The current status of NPI 1063570620 in the NPPES registry is Active. The record was last updated on 2024-07-26.

What specialty is NPI 1063570620?

NPI 1063570620 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1063570620?

You can verify NPI 1063570620 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1063570620?

The primary practice address on file for NPI 1063570620 is 6041 Village Dr Ste 110, Lincoln, NE 68516-5774. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1063570620 issued?

NPI 1063570620 was first issued (enumerated) on 2006-12-05. The NPPES record was last updated on 2024-07-26.

Practice Location Map

Ruby Marie-Northrup is located at 6041 Village Dr Ste 110, Lincoln, NE. Use the map below to find directions or verify the practice location.

📍 6041 Village Dr Ste 110, Lincoln, NE 68516-5774  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Ruby Marie-Northrup. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1063570620. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal Medicine233NE
Family Medicine233NE
Data Verified from CMS NPPES Last synced: 2026-06-17 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162