Individual provider Active NPI

Alethea Yvette Rucker, M.D

  • Family Medicine Physician
  • Eden, NC
National Provider Identifier
1053549493
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2014-01391 Issued in NC
Practice address
515 Thompson Street
Suite D
Eden, NC 27288
Phone
(336) 627-5178
Fax
(336) 627-0727
NPI assigned
Jun 24, 2009
Last updated
Aug 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2014-01391 NC Primary
Family Medicine Physician 207Q00000X 2014 01391 NC

Addresses

Primary practice location

515 Thompson Street
Suite D
Eden, NC 27288

Mailing address

2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442

Other names 1

  • Alethea Yvette Barrino Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abarrino501632@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141024001597 NC Practitioner - Family Practice 1557525102 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1123 N Church St
Greensboro, NC 27401-1007
Phone (336) 832-4400

1125 N Church St
Greensboro, NC 27401-1007
Phone (336) 832-8035

1131 CN Church St
Greensboro, NC 27401-1007
Phone (336) 832-7867

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 379-4307

1380 Old Salem Rd
Kernersville, NC 27284-3722
Phone (336) 890-3660

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2014 01391NCMDFamily Medicine Physician
2014-01391NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. Family Medicine Current Accepting new patients
Moses Cone Physician Services Inc CurrentSince Dec 3, 2014 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Family Medicine CurrentSince Oct 4, 2023 Accepting new patients
Unc Physicians Network LLC Family Medicine CurrentSince Jan 1, 2019 Accepting new patients
Unc Physicians Network LLC Family Medicine Current Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Oct 4, 2023 Accepting new patients
Moses Cone Affiliated Physicians, Inc. Past Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Past Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

515 Thompson St
Ste D
Eden, NC 27288
Phone (336) 627-5178

1131 N Church St
Greensboro, NC 27401
Phone (336) 358-5100

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

Interoperability endpoints

  • Direct secure messaging: abarrino501632@direct.unc.nchie.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1053549493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PERIMETER PARK DR STE 200",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 THOMPSON STREET",
            "address_2": "SUITE D",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "27288",
            "telephone_number": "336-627-5178",
            "fax_number": "336-627-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "ALETHEA",
        "middle_name": "YVETTE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2014-01391",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2014 01391",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abarrino501632@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "515 Thompson Street",
            "address_2": "Suite D",
            "city": "Eden",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALETHEA",
            "last_name": "BARRINO",
            "middle_name": "YVETTE",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eden, NC

Sources for this page

Verify at the official NPI Registry.