Jayvana Rucker

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Practice address

755 N Salina St
Syracuse, NY 13208-2510

Phone

(315) 455-9090

NPI assigned

Aug 22, 2023

Last updated

Aug 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Jayvana R LLC

  • Durable Medical Equipment & Medical Supplies
  • Syracuse, NY
  • NPI 1386428134
  NPD Authorized official

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1215711064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132082510",
            "telephone_number": "315-455-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132082510",
            "telephone_number": "315-455-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "JAYVANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Rozyczko, LMT
• RTK Transport
• Alexandra Louise Rubenstein, FNP-C, RN
• Christina Nicole Rubin, DPT
• Elizabeth A. Ruckdeschel, M.D./PH.D.
• Lisa M Rucker
• Emily Gaffney Rudberg, PA-C
• Erin B Ruddy
• Janalyn W Ruder, SLP, M.S. CCC
• Steven Rudis, MD

• Prosthetics Case Management in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Prosthetics Case Management in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.