MS. ANGELA MICHELLE RUCKER (NPI# 1255801916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255801916 |
| Entity Type | Individual |
| Full Name | MS. ANGELA MICHELLE RUCKER |
| Credential | FNP-C |
| Practice Address |
430 Moseley Rd Byron GA 31008-7202 |
| Practice Telephone | 4789562003 |
| Mailing Telephone | 4789562003 |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN203624 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033549340 | Angela Marie Rucker | Adult Companion | 4549 Banneka St, Orlando, FL 32811-4862 | 2013-11-22 |
| 1598989725 | Angela Marie Rucker | Home Health Aide | 2424 State Route 772, Rarden, OH 45671-9605 | 2007-04-12 |
| 1891999009 | Angela Rucker | Counselor | 1212 Bath Ave, Ashland, KY 41101-2696 | 2007-06-12 |
| Street Address |
430 MOSELEY RD |
| City | BYRON |
| State | GA |
| Zip Code | 31008-7202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255973566 | Rehoboth Life Care Ministries, Inc | Dentist | 3208 Hwy 41, Byron, Byron, GA 31008 | 2019-10-09 |
| 1265997761 | Caroline Layfield | Specialist/Technologist | 355 Joe Barnes Rd., Byron, GA 31008 | 2019-02-08 |
| 1003346909 | Tara Leeann Butts | Nurse Practitioner | 1960 Highway 247 Conn, Byron, GA 31008 | 2017-06-14 |
| 1114396769 | Physical Medicine Injury Center, LLC | Chiropractor | 218 Highway 49 N, Suite C, Byron, GA 31008 | 2015-09-24 |
| 1215313044 | Georgia Dental Professionals, PC | Dentist | 6005 Watson Blvd Suite 200, Byron, GA 31008 | 2015-08-04 |
| 1366844367 | Middle Georgia Family Rehab | Health Maintenance Organization | 100 Hamilton Pointe Dr., Suite 115 & 120, Byron, GA 31008 | 2014-09-22 |
| 1417377458 | Caring Hearts Companions & Caregivers | In Home Supportive Care | 212 Ga Highway 49 North, Ste 1400, Byron, GA 31008 | 2014-04-17 |
| 1245672724 | Middle Georgia Family Rehab | Case Management | 100 Hamilton Pointe Drive, 115, Byron, GA 31008 | 2013-07-24 |
| 1356783245 | Clarence Hicks | Case Management | 100 Hamilton Pointe Dr, Suite 115 & 120, Byron, GA 31008 | 2013-07-22 |
| 1083859292 | Marylorraine Alcott Spruill | Behavioral Analyst | 693 Cochran Dr, Byron, GA 31008 | 2008-12-03 |
| Find all providers in zip 31008 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003346909 | Tara Leeann Butts | Nurse Practitioner | 1960 Highway 247 Conn, Byron, GA 31008 | 2017-06-14 |
| 1871040394 | Suann Daphna Runshe | Nurse Practitioner | 119 Camerons Way, Byron, GA 31008-7308 | 2016-09-01 |
| 1104232941 | Daniela Torres | Nurse Practitioner | 6005 Watson Blvd Ste 100, Byron, GA 31008-6542 | 2014-07-01 |
| 1811982127 | Gina Kirk | Nurse Practitioner | 200 Hwy 49 S, Byron, GA 31008-6937 | 2005-09-13 |
| 1710497060 | Rachel Ann Layson | Nurse Practitioner | 6005 Watson Blvd Ste 100, Byron, GA 31008-6542 | 2017-10-01 |
| 1760912596 | Susan Ashley Alford | Nurse Practitioner | 6005 Watson Blvd Ste 100, Byron, GA 31008-6542 | 2017-06-14 |
| 1457895435 | Tanya Rozier Shuttlesworth | Nurse Practitioner | 6005 Watson Blvd, Byron, GA 31008-6542 | 2016-12-11 |
| 1346799574 | Hannah Revell | Nurse Practitioner | 218 Ga Highway 49 N, Byron, GA 31008-4042 | 2016-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285486 | Aprn Mobile Clinic LLC | Nurse Practitioner | 1361 Highwoods Pass, Grovetown, GA 30813-3994 | 2020-11-08 |
| 1093316820 | Odyne Rose Lacossiere-dorvilus | Nurse Practitioner | 30 Myrtlewood Dr, Savannah, GA 31405-1024 | 2020-11-06 |
| 1104427061 | Tya Wright | Nurse Practitioner | 1450 Newnan Crossing Blvd E Apt 13205, Newnan, GA 30265-0027 | 2020-11-05 |
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1033710298 | Karen F Frazier | Nurse Practitioner | 6610 Crest Wood Ln, Douglasville, GA 30135-9046 | 2020-11-04 |
| 1619578986 | Marjorie Sewannyana | Nurse Practitioner | 553 Camano Way, Mcdonough, GA 30253-8377 | 2020-11-03 |
| 1639770027 | Markesha Leshea Groomes | Nurse Practitioner | 209 N. Cuthbert, Colquitt, GA 39837-3515 | 2020-11-03 |
| 1265033625 | Ashley Thomas | Nurse Practitioner | 3750 Venture Dr Ste E4, Duluth, GA 30096-1863 | 2020-11-03 |
| 1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
| 1093315848 | Tracy Tarvers | Nurse Practitioner | 129 Wolf Creek Dr N, Macon, GA 31210-9002 | 2020-10-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. ANGELA MICHELLE RUCKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.