MRS. CHERYL ANN RUDDICK (NPI# 1245565241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245565241 |
| Entity Type | Individual |
| Full Name | MRS. CHERYL ANN RUDDICK |
| Credential | CRNP |
| Practice Address |
7310 Ritchie Hwy #516 Glen Burnie MD 21061-3065 |
| Practice Telephone | 4107617305 |
| Mailing Telephone | 4107617305 |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R080352 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7310 RITCHIE HWY #516 |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-3065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427021112 | Lisa Antoinette Horton | Pediatrics | 7310 Ritchie Hwy, Suite 516, Glen Burnie, MD 21061-3065 | 2006-02-11 |
| 1528508983 | Time Organization, Inc. | Community/Behavioral Health | 7310 Ritchie Hwy, Glen Burnie, MD 21061-3065 | 2017-03-06 |
| 1528508371 | Time Organization | Community/Behavioral Health | 7310 Ritchie Hwy, Suite 100, Glen Burnie, MD 21061-3065 | 2017-02-27 |
| 1568904167 | David Michael Bell | Social Worker | 7310 Ritchie Hwy, Suite 1009, Glen Burnie, MD 21061-3065 | 2016-11-14 |
| 1578929873 | Matthew Hutzel | Physical Therapist | 7310 Ritchie Hwy, Suite 500, Glen Burnie, MD 21061-3065 | 2016-01-04 |
| 1114398575 | Enoch Samraj | Physical Therapist | 7310 Ritchie Hwy, Ste 500, Glen Burnie, MD 21061-3065 | 2015-10-12 |
| 1992186860 | Child & Adult Behavioral Health, LLC | Nurse Practitioner | 7310 Ritchie Hwy, Suite 406, Glen Burnie, MD 21061-3065 | 2015-06-16 |
| 1205228848 | Michael Morrone | Physical Therapist | 7310 Ritchie Hwy, Suite 615, Glen Burnie, MD 21061-3065 | 2015-02-18 |
| 1972992501 | Jessica H Landis | Counselor | 7310 Ritchie Hwy, Suite # 1009, Glen Burnie, MD 21061-3065 | 2015-01-20 |
| 1437558160 | Alicia Hess | Physical Therapist | 7310 Ritchie Hwy, Glen Burnie, MD 21061-3065 | 2014-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023517869 | Christine Marie Habersaat | Nurse Practitioner | 1405 Madison Park Dr Ste 1, Glen Burnie, MD 21061-5864 | 2018-02-07 |
| 1497882179 | Kayleen Weinman Clute | Nurse Practitioner | 1406 South Crain Hwy, Glen Burnie, MD 21061-4086 | 2007-02-28 |
| 1518499375 | Jessica Washburn | Nurse Practitioner | 7010 Ritchie Hwy, Glen Burnie, MD 21061-2902 | 2017-03-31 |
| 1902238256 | Erin Freitas | Nurse Practitioner | 1403 Madison Park Dr, Suite 100, Glen Burnie, MD 21061-6189 | 2013-08-08 |
| 1427366954 | Kristi Paige Herbert | Nurse Practitioner | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2010-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405574 | Kylie White | Nurse Practitioner | 29595 Millstream Dr, Salisbury, MD 21804-2006 | 2020-10-23 |
| 1437764214 | Kelly Weaver | Nurse Practitioner | 11315 Pembroke Square, 110, Waldorf, MD 20603 | 2020-09-09 |
| 1003420282 | Mary Claire Perry | Nurse Practitioner | 737 W Lombard St Ste 314, Baltimore, MD 21201-1009 | 2020-09-03 |
| 1063022853 | Lauren Ranieri | Nurse Practitioner | 5301 Westbard Cir Ste 3, Bethesda, MD 20816-1463 | 2020-08-06 |
| 1841847209 | Brittany Nichole Frankel | Nurse Practitioner | 5870 Old Washington Rd, Sykesville, MD 21784-8622 | 2019-08-21 |
| 1912553595 | Kelsey Lynn Peifer | Nurse Practitioner | 6131 Baldridge Ter, Frederick, MD 21701-5858 | 2019-08-10 |
| 1841845351 | Advanced Practice Wellness, LLC | Nurse Practitioner | Washingtonian Blvd Ste 550, Gaithersburg, MD 20878 | 2019-08-02 |
| 1851946305 | Monica Patel | Nurse Practitioner | 3450 Old Washington Rd Ste 100, Waldorf, MD 20602-3249 | 2019-08-01 |
| 1922651082 | Deborah A Weber | Nurse Practitioner | 480 Lake Dr, Lusby, MD 20657-3260 | 2019-07-18 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| Find all providers with the same taxonomy | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
Please comment or provide details below to improve the information on MRS. CHERYL ANN RUDDICK.
| 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.