Active NPI
Mariah Ruckdeschel
- Nurse's Aide
- Sun City Center, FL
National Provider Identifier
1104792134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- RN9677686
- Practice address
- 7054 King Creek Dr
Sun City Center, FL 33573-0218 - Phone
- (912) 819-6780
- NPI assigned
- Oct 16, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | RN9677686 | FL | Primary |
Addresses
Primary practice location
7054 King Creek Dr
Sun City Center, FL 33573-0218
Mailing address
7054 King Creek Dr
Sun City Center, FL 33573-0218
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9677686 | FL | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1104792134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7054 KING CREEK DR",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335730218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7054 KING CREEK DR",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335730218",
"telephone_number": "912-819-6780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUCKDESCHEL",
"first_name": "MARIAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-16",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "FL",
"license": "RN9677686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sun City Center, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.