BARBARA R RUCKER (NPI# 1366757569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366757569 |
Entity Type | Individual |
Full Name | BARBARA R RUCKER |
Credential | SAC |
Practice Address |
74 Eclipse Ctr Beloit WI 53511-3550 |
Practice Telephone | 6083133120 |
Practice Fax Number | 6083610312 |
Mailing Telephone | 6083133120 |
Mailing Fax Number | 6083610312 |
Enumeration Date | 2010-08-11 |
Last Update Date | 2010-08-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | STATE LICENSE | 15584-131 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316195316 | Barbara Elizabeth Rucker | Psychologist | 13179 Huff Blvd, Fishers, IN 46038 | 2008-09-03 |
1285990747 | Barbara Rodriguez Rucker | Nurse Anesthetist, Certified Registered | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2012-04-09 |
Street Address |
74 ECLIPSE CTR |
City | BELOIT |
State | WI |
Zip Code | 53511-3550 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215926324 | Galen Carlos Nelson | Physician Assistant | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2005-10-20 |
1841815594 | Lindsey Anderson | Social Worker | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2020-06-09 |
1639720980 | Tera Staffon | Dental Hygienist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2019-09-26 |
1508322199 | Colleen Hogan | Dental Hygienist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2019-02-19 |
1326512427 | Elizabeth Green | Dental Hygienist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2019-01-11 |
1972076776 | Kimberly Bates | Dental Hygienist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2019-01-04 |
1982170973 | Shanleigh Bechard | Counselor | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2018-10-17 |
1316443351 | John Tran | Dentist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2018-03-30 |
1578069522 | Thad Regenold | Registered Nurse | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2018-03-30 |
1588194229 | Katie Wilson | Dentist | 74 Eclipse Ctr, Beloit, WI 53511-3550 | 2017-06-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
Find all providers in zip 53511 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518477660 | Audrey Elaine Marchillo | Counselor | 3447 Bee Ln, Beloit, WI 53511-1901 | 2017-10-03 |
1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
1154663375 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Counselor | 1850 Cranston Rd, Beloit, WI 53511-2544 | 2013-03-26 |
1750621504 | Nancy Richardson | Counselor | 2627 Kadlec Dr, Beloit, WI 53511-6627 | 2013-02-14 |
1922345933 | Tonya G Ramsey | Counselor | 250 Garden Ln, Ste 106, Beloit, WI 53511-6168 | 2013-01-10 |
1285954065 | Joanne Roberts | Counselor | 1919 Chippewa Trl, Beloit, WI 53511-3819 | 2010-06-03 |
1235316381 | Bradley Ray Hawbecker | Counselor | 2240 Praire Ave, 10, Beloit, WI 53511-2940 | 2008-01-30 |
1629007877 | Mark W Rothfuss | Counselor | 207 N Mill St Ste 5, Beloit, KS 67420 | 2006-07-01 |
1306447909 | Brenda May Diaz | Counselor | 2240 Prairie Ave, Beloit, WI 53511-2648 | 2020-11-02 |
Find all providers in BELOIT |
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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.