Active NPI
Trudy Lynn Schuckers, RDHAP
- Dental Hygienist
- Santa Clarita, CA
National Provider Identifier
1376850537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 313
- Practice address
- 26873 Sierra Hwy
Ste 224
Santa Clarita, CA 91321 - Phone
- (661) 713-2112
- Fax
- (661) 360-9003
- NPI assigned
- Sep 9, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 313 | CA | Primary |
| Dental Hygienist | 124Q00000X | 24412 | CA |
Addresses
Primary practice location
26873 Sierra Hwy
Ste 224
Santa Clarita, CA 91321
Mailing address
26873 Sierra Hwy
# 224
Santa Clarita, CA 91321
Phone (661) 713-2112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100507898 | Medicaid | NV |
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 |
|---|---|---|---|
| 313 | CA | MD | Psychoanalyst |
| 24412 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283990400000",
"number": "1376850537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26873 SIERRA HWY",
"address_2": "# 224",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "91321",
"telephone_number": "661-713-2112",
"fax_number": "661-360-9003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26873 SIERRA HWY",
"address_2": "STE 224",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "91321",
"telephone_number": "661-713-2112",
"fax_number": "661-360-9003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUCKERS",
"first_name": "TRUDY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RDHAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-09",
"last_updated": "2010-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "313",
"primary": true
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "24412",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100507898",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Clarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.