Allyson White Rucker, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

8003670-4405 Issued in UT

Practice address

415 Medical Dr Ste B200
Bountiful, UT 84010-4986

Phone

(801) 295-9105

NPI assigned

Feb 12, 2021

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

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Premier Plastic Surgery Group of Utah, L.L.C.

  • Specialist
  • Sandy, UT
  • NPI 1497941603
  NPD (past)

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1891388674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W CYAN VALLEY WAY",
            "city": "BLUFFDALE",
            "state": "UT",
            "postal_code": "840651699",
            "telephone_number": "801-309-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MEDICAL DR STE B200",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104986",
            "telephone_number": "801-295-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "ALLYSON",
        "middle_name": "WHITE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "UT",
            "license": "8003670-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ross, DO
• Megan Ross, DPT
• Michael S Roundy, PHYSICIAN SURGEON
• Jennifer Leigh Roy
• Maria Fernanda Rubilar Vasquez, STUDENT
• Adam Barry Rudd, O.D.
• Michelle Rusch
• Mia Rushton
• Russell B Shields MD PC
• Mary Melinda Russell-Stamp, PHD

• All providers in Bountiful, UT
• Acute Care Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.