Active NPI
Angela Marie Rucker
- Adult Companion
- Orlando, FL
National Provider Identifier
1033549340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 4549 Banneka St
Orlando, FL 32811-4862 - Phone
- (321) 872-5782
- NPI assigned
- Nov 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | Primary | ||
| Attendant Care Provider | 3747A0650X |
Addresses
Primary practice location
4549 Banneka St
Orlando, FL 32811-4862
Mailing address
4549 Banneka St
Orlando, FL 32811-4862
Phone (321) 872-5782
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009899400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385078400000",
"number": "1033549340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4549 BANNEKA ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328114862",
"telephone_number": "321-872-5782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4549 BANNEKA ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328114862",
"telephone_number": "321-872-5782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUCKER",
"first_name": "ANGELA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-22",
"last_updated": "2013-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009899400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.