Active NPI
Katherine A Rucker, RD CDE
- Registered Dietitian
- Fort Harrison, MT
National Provider Identifier
1801819628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 173
- Practice address
- 1892 Veterans Way
Fort Harrison, MT 59636 - Phone
- (406) 447-7370
- NPI assigned
- Jul 25, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 173 | MT | Primary |
Addresses
Primary practice location
1892 Veterans Way
Fort Harrison, MT 59636
Mailing address
2005 Flowerree St
Helena, MT 59601-5919
Phone (406) 442-8472
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 |
|---|---|---|---|
| 173 | MT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801819628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 FLOWERREE ST",
"city": "HELENA",
"state": "MT",
"postal_code": "596015919",
"telephone_number": "406-442-8472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1892 VETERANS WAY",
"city": "FORT HARRISON",
"state": "MT",
"postal_code": "59636",
"telephone_number": "406-447-7370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUCKER",
"first_name": "KATHERINE",
"middle_name": "A",
"credential": "RD CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MT",
"license": "173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Harrison, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.