Active NPI
Shirley Rucker
- Home Health Aide
- Memphis, TN
National Provider Identifier
1285104703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 180006429
- Practice address
- 1291 Goodbar Ave Apt 3
Memphis, TN 38104-4538 - Phone
- (901) 456-5074
- Fax
- (901) 458-9135
- NPI assigned
- Nov 27, 2018
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 180006429 | TN | Primary |
Addresses
Primary practice location
1291 Goodbar Ave Apt 3
Memphis, TN 38104-4538
Mailing address
1291 Goodbar Ave Apt 3
Memphis, TN 38104-4538
Phone (901) 456-5074
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 |
|---|---|---|---|
| 180006429 | TN | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1285104703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1291 GOODBAR AVE APT 3",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381044538",
"telephone_number": "901-456-5074",
"fax_number": "901-458-9135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1291 GOODBAR AVE APT 3",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381044538",
"telephone_number": "901-456-5074",
"fax_number": "901-458-9135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUCKER",
"first_name": "SHIRLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-27",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": "TN",
"license": "180006429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.