Amy Lanette Rucker

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP1503 Issued in AR

Practice address

314 Longhorn Dr.
Viola, AR 72583-0380

Phone

(870) 458-2511

NPI assigned

Apr 10, 2008

Last updated

Nov 17, 2010By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gross Therapy Services IncGroup PAC ID 5991072050, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gross Therapy Services, Inc.

  • Physical Therapist
  • Mountain Home, AR
  • NPI 1033236468

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Personal Therapy Group, LLC

  • Speech-Language Pathologist
  • Mountain Home, AR
  • NPI 1730318288
  NPD (past)
• Superintendent of Viola Consolidated School

  dba Viola Public Schools

  • Local Education Agency (LEA)
  • Viola, AR
  • NPI 1306064084

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1841463908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 LONGHORN DR.",
            "city": "VIOLA",
            "state": "AR",
            "postal_code": "725830380",
            "telephone_number": "870-458-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 LONGHORN DR.",
            "city": "VIOLA",
            "state": "AR",
            "postal_code": "725830380",
            "telephone_number": "870-458-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "AMY",
        "middle_name": "LANETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP1503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136543721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Ashley Kinder, MD
• Nurse Practitioners Family Clinic
• Macey S Perryman
• Pharmacy Barn
• Dedra Ann Richardson, APRN
• Elizabeth Kay Smith, PHARMD
• Superintendent of Viola Consolidated School (Viola Public Schools)
• Melinda Blaine Wray, DPT

• Speech-Language Pathologist in Viola, AR
• Providers in Viola, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.