Shelley R. Ruch, CST

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

237.000190 Issued in IL

Practice address

1604 Visa Drive
Ste 1
Normal, IL 61761

Phone

(309) 846-4716

Fax

(309) 454-7348

NPI assigned

Feb 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1447750708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 VISA DRIVE",
            "address_2": "STE 1",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "61761",
            "telephone_number": "309-846-4716",
            "fax_number": "309-454-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 VISA DRIVE",
            "address_2": "STE 1",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "61761",
            "telephone_number": "309-846-4716",
            "fax_number": "309-454-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCH",
        "first_name": "SHELLEY",
        "middle_name": "R.",
        "credential": "CST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "IL",
            "license": "237.000190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel R Rohman, PT, DPT, CLT
• Judy Ronan Woodburn, PH.D.
• Beth Rooker, M.A. CCC-SLP
• Jordan Ancell Rosenberg, DO
• Laurie A Rosson, CST
• Marie Rupert, PHARMD
• Cara Russell, LPN
• Lisa Russell, CRNA
• Sonya A Russo, C.N.M., W.H.N.P.
• Maria Fernanda Saavedra, M.D.

• Surgical Technologist in Normal, IL
• Providers in Normal, IL by specialty
• Surgical Technologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.