Active NPI
Linda M Rucker
- Nurse's Aide
- Yazoo City, MS
National Provider Identifier
1831778778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 1230134
- Practice address
- 219 S. Yazoo Street
Yazoo City, MS 39194 - Phone
- (662) 590-5987
- NPI assigned
- Apr 7, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 1230134 | MS | Primary |
Addresses
Primary practice location
219 S. Yazoo Street
Yazoo City, MS 39194
Mailing address
219 S. Yazoo Street
Yazoo City, MS 39194
Phone (662) 590-5987
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A023624 | Other | MS | CNA |
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 |
|---|---|---|---|
| 1230134 | MS | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1831778778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 S. YAZOO STREET",
"city": "YAZOO CITY",
"state": "MS",
"postal_code": "39194",
"telephone_number": "662-590-5987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 S. YAZOO STREET",
"city": "YAZOO CITY",
"state": "MS",
"postal_code": "39194",
"telephone_number": "662-590-5987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUCKER",
"first_name": "LINDA",
"middle_name": "M",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-07",
"last_updated": "2021-04-07",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MS",
"license": "1230134",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CNA",
"identifier": "A023624",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yazoo City, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.