Individual provider Active NPI

Erin Elizabeth Rucker, DC

  • Chiropractor
  • Ozark, AL
National Provider Identifier
1336188309
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2468 Issued in AL
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

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04532295OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • Ms. Erin Elizabeth Ostby Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151021000758 AL Practitioner - Chiropractic 2466465323 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
2468ALMDOccupational 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.

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.

Verify at the official NPI Registry.