Active NPI
Erin Elizabeth Rucker, DC
- Chiropractor
- Ozark, AL
National Provider Identifier
1336188309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2468
- Practice address
- 1550 Andrews Ave Ste 2
Ozark, AL 36360-3769 - Phone
- (334) 445-2525
- Fax
- (334) 445-1212
- NPI assigned
- Jun 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-010356 | IL | |
| Chiropractor | 111N00000X | 2468 | AL | Primary |
Addresses
Primary practice location
1550 Andrews Ave Ste 2
Ozark, AL 36360-3769
Mailing address
1550 Andrews Ave Ste 2
Ozark, AL 36360-3769
Phone (334) 445-2525
Other practice location 1
2435 Dean Street
Unit D
St. Charles, IL 60175-4827
Phone (630) 444-1599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04532295 | Other | IL | BLUE CROSS BLUE SHIELD |
Other names 1
- Ms. Erin Elizabeth Ostby
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1550 Andrews Ave
Suite 2
Ozark, AL 36360-3769
Phone (334) 445-2525
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2468 | AL | MD | Occupational Therapy Assistant |
Organizations & group practices 1
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.
-
- Chiropractor
- Ozark, AL
- NPI 1093280547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1336188309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 ANDREWS AVE STE 2",
"city": "OZARK",
"state": "AL",
"postal_code": "363603769",
"telephone_number": "334-445-2525",
"fax_number": "334-445-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 ANDREWS AVE STE 2",
"city": "OZARK",
"state": "AL",
"postal_code": "363603769",
"telephone_number": "334-445-2525",
"fax_number": "334-445-1212"
}
],
"practiceLocations": [
{
"address_1": "2435 Dean Street",
"address_2": "Unit D",
"address_purpose": "LOCATION",
"city": "St. Charles",
"state": "IL",
"postal_code": "601754827",
"country_code": "US",
"telephone_number": "630-444-1599",
"fax_number": "630-444-1825",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUCKER",
"first_name": "ERIN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-05",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-010356",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "2468",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "04532295",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "OSTBY",
"middle_name": "ELIZABETH",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ozark, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.