Resha Ruddock, APRN

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APRN9280554 Issued in FL

Practice address

201 E Sample Rd
Pompano Beach, FL 33064-3502

Phone

(954) 485-5666

Fax

(954) 484-1651

NPI assigned

Jan 21, 2016

Last updated

Apr 10, 2019By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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.

• Anesco North Broward LLC

  • Anesthesiology Physician
  • Fort Lauderdale, FL
  • NPI 1699763862
  Medicare reassignment NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Miami Anesthesia Services LLC

  • Anesthesiology Physician
  • Aventura, FL
  • NPI 1821475179

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sheridan Healthcorp Inc

  • Anesthesiology Physician
  • Okeechobee, FL
  • NPI 1629781711

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sheridan Healthcorp, Inc

  • Anesthesiology Physician
  • Coral Springs, FL
  • NPI 1992500110
  NPD

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1225495211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W COMMERCIAL BLVD",
            "address_2": "SUITE 5",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093300",
            "telephone_number": "954-703-2931",
            "fax_number": "954-585-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E SAMPLE RD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643502",
            "telephone_number": "954-485-5666",
            "fax_number": "954-484-1651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 W Commercial Blvd",
            "address_2": "Suite 5",
            "address_purpose": "LOCATION",
            "city": "Ft Lauderdale",
            "state": "FL",
            "postal_code": "333093300",
            "country_code": "US",
            "telephone_number": "954-703-2931",
            "fax_number": "954-585-9207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDDOCK",
        "first_name": "RESHA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9280554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCRNA",
            "identifier": "110096",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• RS Surgical
• Melania Renata Rubiano, PMHNP
• Martha L. Rubio, MSW
• Christopher Rud, PARAMEDIC
• Michelle Rud, RN
• Amanda Ruff
• Esperanza Ruiz Junco
• Maryan Rumsey
• Jasmine Danielle Runge
• Caitlyn Elizabeth Russell

• Certified Registered Nurse Anesthetist in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.