ANGALESIA RUCKER (NPI# 1376953489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376953489 |
| Entity Type | Individual |
| Full Name | ANGALESIA RUCKER |
| Credential | NP-C |
| Practice Address |
12000 Shaker Blvd Cleveland OH 44120-1922 |
| Practice Telephone | 2164723216 |
| Mailing Telephone | 2163137583 |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | COA.15837-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
COA.15837-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
COA.15837-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
COA.15837-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
COA.15837-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
COA.15837- | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12000 SHAKER BLVD |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44120-1922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326048182 | Preterm Cleveland Inc | Clinic/Center | 12000 Shaker Blvd, Cleveland, OH 44120-1922 | 2005-07-22 |
| 1306256417 | Nazneen Khan | Advanced Practice Midwife | 12000 Shaker Blvd, Cleveland, OH 44120-1922 | 2014-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578275 | Steps To Wellness, Inc. | Counselor | 3577 East 144h Street, Cleveland, OH 44120 | 2020-11-02 |
| 1396343752 | Chauncey Lang | Homemaker | 3090 #10 Livingston Ave, Cleveland, OH 44120 | 2020-10-16 |
| 1558999607 | Delores Collins | Community Health Worker | 12200 Farhill Rd C-349, Cleveland, OH 44120 | 2020-04-01 |
| 1497396949 | Renisha Delia Spencer | Home Health | 3387 E. 137th Street, Cleveland, OH 44120 | 2019-10-07 |
| 1598313249 | Torrence Hands Healthcare LLC | Clinic/Center | 3440 Avalon Road Apt 204, Shaker Hts, OH 44120 | 2019-08-27 |
| 1164908067 | Complete Recovery LLC | Clinic/Center | 2618 N Moreland Blvd, Cleveland, OH 44120 | 2018-07-13 |
| 1871095000 | Stacy-ann Camile Durrant | Nurse's Aide | 13800 Fairhill Rd, 115, Shaker Heights, OH 44120 | 2018-03-03 |
| 1144749904 | Alliant Health Services | Clinic/Center | 3535 Lee Road, Shaker Heights, OH 44120 | 2017-09-13 |
| 1972025864 | Eugene Platts Jr. | Counselor | 12024 Shaker Blvd # 502, Cleveland, OH 44120 | 2017-07-12 |
| 1942739438 | Aaliyah Fields | Nurse Practitioner | 3070 Becket Rd, Cleveland, OH 44120 | 2017-06-08 |
| Find all providers in zip 44120 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396873576 | Marcellia Denise Stephens | Nurse Practitioner | 9500 Euclid Ave # A-10, Cleveland, OH 44195-0001 | 2007-03-01 |
| 1356351571 | Cindy Ann Farina | Nurse Practitioner | 4242 Lorain Ave, Suite 233, Cleveland, OH 44113-3715 | 2006-08-09 |
| 1497763221 | Jill L Palajac | Nurse Practitioner | 25350 Rockside Rd, Suite 100, Cleveland, OH 44146-7110 | 2006-08-04 |
| 1568470128 | Therese M Miller | Nurse Practitioner | 3311 Broadview Rd, Cleveland, OH 44109-3315 | 2006-08-03 |
| 1275522302 | Lori Fortier | Nurse Practitioner | 1836 Euclid Ave, Cleveland, OH 44115-2235 | 2005-10-20 |
| 1144879131 | Shannon Weems | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2019-09-11 |
| 1386110294 | Kathryn Risch | Nurse Practitioner | 8300 Hough Ave, Cleveland, OH 44103-4247 | 2018-10-17 |
| 1699284794 | Sarah Elizabeth Boerio | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2017-09-21 |
| 1497117337 | Jane Molina | Nurse Practitioner | 12100 Superior Ave, Cleveland, OH 44106-1444 | 2016-03-21 |
| 1821465097 | Jennifer Karohl | Nurse Practitioner | 9500 Euclid Ave # A81, Cleveland, OH 44195-0001 | 2015-08-24 |
| Find all providers in CLEVELAND | ||||
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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.