Active NPI
Amy D Ruckman, PEL
- School Social Worker
- Altamont, IL
National Provider Identifier
1366059818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 448350
- Practice address
- 407 S Edwards St
Altamont, IL 62411-1799 - Phone
- (618) 483-5171
- Fax
- (618) 483-6793
- NPI assigned
- Sep 29, 2020
- Last updated
- Jun 28, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 448350 | IL | Primary |
Addresses
Primary practice location
407 S Edwards St
Altamont, IL 62411-1799
Mailing address
407 S Edwards St
Altamont, IL 62411-1799
Phone (618) 483-5171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 448350 | Other | IL | PEL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aruckman@altamontschools.org | Direct |
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 |
|---|---|---|---|
| 448350 | IL | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1366059818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 S EDWARDS ST",
"city": "ALTAMONT",
"state": "IL",
"postal_code": "624111799",
"telephone_number": "618-483-5171",
"fax_number": "618-483-6793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 S EDWARDS ST",
"city": "ALTAMONT",
"state": "IL",
"postal_code": "624111799",
"telephone_number": "618-483-5171",
"fax_number": "618-483-6793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUCKMAN",
"first_name": "AMY",
"middle_name": "D",
"credential": "PEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-29",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "IL",
"license": "448350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEL",
"identifier": "448350",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aruckman@altamontschools.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "407 S Edwards St",
"city": "Altamont",
"state": "IL",
"country_code": "US",
"postal_code": "624111799",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Altamont, IL
- Mid-Illinois Medical Care Associates, LLC (Altamont Clinic)
- April R Moeller, LPTA
- Lori L. Niemerg, OTR/L
- John P. Opilka, D.O.
- Kristyn Margaret Rosenkoetter, DPT
- Tammy L. Sasse, APRN
- Karie A Schultz, PEL
- Allison Rose Schumacher, D.M.D
- Sehy & Huey General and Family Dentistry, P.L.L.C.
- Christopher James Sehy, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.