SHAWANDA RUCKER (NPI# 1588121891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588121891 |
| Entity Type | Individual |
| Full Name | SHAWANDA RUCKER |
| Credential | LPC |
| Practice Address |
707 N Courthouse Rd North Chesterfield VA 23236-4045 |
| Practice Telephone | 8049242236 |
| Mailing Telephone | 8049242236 |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701007841 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | LICENSE | 0701007841 | 01 |
| Street Address |
707 N COURTHOUSE RD |
| City | NORTH CHESTERFIELD |
| State | VA |
| Zip Code | 23236-4045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134634736 | Kimberly Mondezie | Counselor | 707 N Courthouse Rd, North Chesterfield, VA 23236-4045 | 2017-12-06 |
| 1316552938 | Aaron Anderson | Counselor | 707 N Courthouse Rd, North Chesterfield, VA 23236-4045 | 2020-09-10 |
| 1902455629 | Shayla Betts | Social Worker | 707 N Courthouse Rd, North Chesterfield, VA 23236-4045 | 2019-09-05 |
| 1730732280 | Pamela Marie Heithaus | Social Worker | 707 N Courthouse Rd, North Chesterfield, VA 23236-4045 | 2019-07-23 |
| 1235799214 | Sharon Theiner | Social Worker | 707 N Courthouse Rd, North Chesterfield, VA 23236-4045 | 2019-06-20 |
| 1174029359 | Myspectrum LLC | Counselor | 707 N Courthouse Rd, North Chesterfield, VA 23236-4045 | 2018-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170064 | Yuly Angelica Willard | Assistant Behavior Analyst | 300 Arboretum Pl, Suite 500, Richmond, VA 23236 | 2020-09-28 |
| 1134752892 | Michelle Bland | Mastectomy Fitter | 11533 Busy Street, Mailbox #307, N. Chesterfield, VA 23236 | 2020-02-20 |
| 1629610449 | Daniel John Lammon IIi | Behavioral Analyst | 9201 Arboretum Pkwy #160, Richmond, VA 23236 | 2019-10-14 |
| 1932750320 | Carmelle A Roberts | Technician | 929 Meadowcreek Dr, North Chesterfield, VA 23236 | 2019-09-26 |
| 1386208163 | Mincey Enterprises Inc Dba Senior Helpers | Homemaker | 257 Wadsworth Drive, Richmond, VA 23236 | 2019-04-26 |
| 1306321591 | Katherine Gail Villacorta | Behavior Technician | 9201 Arboretum Pkwy #160, Richmond, VA 23236 | 2018-10-03 |
| 1841713120 | Your Taxi, Inc. | Taxi | 9409 Hull Street Road, Suite F-2, North Chesterfield, VA 23236 | 2017-07-19 |
| 1790125987 | James River Home Health Care, LLC | Home Health | 9100 Arboretum Parkway, Ste 290, North Chesterfield, VA 23236 | 2013-07-02 |
| 1164779591 | Christian Thomsen | Military Health Care Provider | 2510 Camelback Road, Richmond, VA 23236 | 2012-08-03 |
| 1780959171 | Shelby Johnson | Anesthesiology | 215 Wadsworth Drive, Richmond, VA 23236 | 2012-03-19 |
| Find all providers in zip 23236 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306465257 | Innovative Counseling Group | Counselor | 302 Turner Rd Ste F, North Chesterfield, VA 23225-6433 | 2020-04-10 |
| 1710515853 | Joyce Ann Sanders | Counselor | 6718 Hedges Rd, North Chesterfield, VA 23224-2557 | 2020-04-01 |
| 1730729096 | Mary Tabitha Varney | Counselor | 101 Buford Rd. Unit 110, North Chesterfield, VA 23235 | 2020-01-14 |
| 1366089088 | Michelle L Medley | Counselor | 14 Silverleaf Ct, North Chesterfield, VA 23236-2843 | 2019-12-01 |
| 1629613484 | Calming Wind Counseling Services, LLC | Counselor | 9023 Forest Hill Ave # 2a, North Chesterfield, VA 23235-3054 | 2019-11-15 |
| 1831744408 | Paula Nicole Cales | Counselor | 2411 Chester Hill Cir, North Chesterfield, VA 23234-5102 | 2019-08-09 |
| 1952860116 | Jonathan Ugalde | Counselor | 9023 Forest Hill Ave Ste 2a, North Chesterfield, VA 23235-3054 | 2019-03-18 |
| 1073079927 | Kenneth Marvin Shirley | Counselor | 11114 Lantern Way, North Chesterfield, VA 23236-3575 | 2019-02-15 |
| 1417435413 | Shelia Williams | Counselor | 302 Turner Rd Ste J&k, North Chesterfield, VA 23225-6433 | 2018-08-01 |
| 1497243489 | Dione Fields | Counselor | 221 Ruthers Rd Ste 102, North Chesterfield, VA 23235-5395 | 2018-04-25 |
| Find all providers in NORTH CHESTERFIELD | ||||
| City | NORTH CHESTERFIELD |
| Zip Code | 23236 |
Please comment or provide details below to improve the information on SHAWANDA 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.