Active NPI
Kristina Rucker, CPC
- Professional Counselor
- Las Vegas, NV
National Provider Identifier
1982155040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CP1226
- Practice address
- 2740 S Jones Blvd
Las Vegas, NV 89146-5398 - Phone
- (702) 248-8866
- NPI assigned
- Oct 24, 2016
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CP1226 | NV | Primary |
Addresses
Primary practice location
2740 S Jones Blvd
Las Vegas, NV 89146-5398
Mailing address
2740 S Jones Blvd
Las Vegas, NV 89146-5398
Phone (702) 248-8866
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 |
|---|---|---|---|
| CP1226 | NV | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1982155040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2740 S JONES BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891465398",
"telephone_number": "702-248-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2740 S JONES BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891465398",
"telephone_number": "702-248-8866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUCKER",
"first_name": "KRISTINA",
"credential": "CPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-24",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NV",
"license": "CP1226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.