Brooke Rucker

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

1003584525 Issued in NC

Practice address

5021 Hedgebrook LN
Waxhaw, NC 28173-7073

Phone

(502) 541-8285

NPI assigned

Oct 24, 2023

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Essentially Yours Doula Services, LLC

  • Doula
  • Waxhaw, NC
  • NPI 1003584525
  NPD Authorized official

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1285406264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 HEDGEBROOK LN",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737073",
            "telephone_number": "502-541-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 HEDGEBROOK LN",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737073",
            "telephone_number": "502-541-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "BROOKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "NC",
            "license": "1003584525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Langston Robinson, LPCA
• Daune W Rodman, MSW, LCSW, LISW-CP
• Laurie Rosser, LCSW
• Reilly Bartlett Routh, DPT
• Kris Ruangchotvit, M.D.
• Kristen Ruiz
• Sandra McDaniel Ruocco, D.D.S.
• Kelly Sanfilippo, PHARMD
• Randilyn Sasser
• Joseph H Saturley, PH.D.

• Prevention Professional in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• Prevention Professional in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.