Individual provider Active NPI

Ruth Margaret Flucker, MS;RN;PMHNP-BC;CNE

  • Psychiatric/Mental Health Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1124384896
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP4432 Issued in AZ
Practice address
70 N McClintock Dr
Suite 4
Chandler, AZ 85226-3711
Phone
(480) 464-4431
NPI assigned
Apr 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP4432 AZ Primary

Addresses

Primary practice location

70 N McClintock Dr
Suite 4
Chandler, AZ 85226-3711

Mailing address

3313 E Inglewood Cir
Mesa, AZ 85213-3265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP4432AZMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1333756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1124384896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 E INGLEWOOD CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852133265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 N MCCLINTOCK DR",
            "address_2": "SUITE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263711",
            "telephone_number": "480-464-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUCKER",
        "first_name": "RUTH",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "MS;RN;PMHNP-BC;CNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-07",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP4432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.