MRS. MATEAKA RUCKER (NPI# 1275073322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275073322 |
| Entity Type | Individual |
| Full Name | MRS. MATEAKA RUCKER |
| Practice Address |
2108 Mallard Crst Lithonia GA 30058-5499 |
| Practice Telephone | 6782559069 |
| Mailing Telephone | 6782559069 |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | CN0030025899 | GA | Nursing Service Related Providers |
| Street Address |
2108 MALLARD CRST |
| City | LITHONIA |
| State | GA |
| Zip Code | 30058-5499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821603606 | Sherenda Lashawn Ellis | Contractor | 1859 Petite Lane, Lithonia, GA 30058 | 2020-09-09 |
| 1477186807 | Reset Recovery Health Center LLC | Substance Abuse Rehabilitation Facility | 6978 Main St, Lithonia, GA 30058 | 2020-02-13 |
| 1346726122 | Myorganics | Spec/Tech, Pathology | 5910 Shadow Rock Dr, Lithonia, GA 30058 | 2018-07-16 |
| 1699251884 | Enriching Medical Transport | Ambulance | 2260 Lithonia Industrial Blvd., Ste N-b, Lithonia, GA 30058 | 2018-07-11 |
| 1841789914 | Milner Vein and Vascular LLC | Surgery | 5700 Hillandale Dr Ste 150, Lithonia, GA 30058 | 2018-05-04 |
| 1215451265 | Brittany Rawlings | Home Health | 6127 Howell Ridge, Lithonia, GA 30058 | 2017-08-01 |
| 1982125571 | Bella Intellectum, LLC | Technician/Technologist | 6803 Edmonton Ct., Lithonia, GA 30058 | 2017-07-05 |
| 1528589397 | Arlene Dennis | Registered Nurse | 6022 Arnor Links Road, Lithonia, GA 30058 | 2017-07-03 |
| 1417401746 | Two Caring Hands Private Home Care | Home Health | 1959 Singers Way, Lithonia, GA 30058 | 2016-08-03 |
| 1518347467 | Ortho Injury and Wellness Center Inc. | Clinic/Center | 6148 A Covington Hwy, Lithonia, GA 30058 | 2015-06-05 |
| Find all providers in zip 30058 | ||||
| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548814825 | Cynthia Thomas | Nurse's Aide | 5021 Chupp Way, Lithonia, GA 30038 | 2019-07-25 |
| 1497318786 | Tawana Diane Pruitt | Nurse's Aide | 2193 Raven Cir, Lithonia, GA 30058-1845 | 2019-04-22 |
| 1881054716 | Vanessa Dumas | Nurse's Aide | 6687 Evans Trce, Lithonia, GA 30038-2469 | 2016-03-04 |
| 1215336656 | Shannon Holmes | Nurse's Aide | 739 Stonebridge Park Cir, Lithonia, GA 30058-9047 | 2014-08-21 |
| 1033426010 | Patricia Staples | Nurse's Aide | 3251 Rondelay Dr, Lithonia, GA 30038-2648 | 2010-09-11 |
| 1053926576 | Marcia B Campbell | Nurse's Aide | 7002 Annie Walk, Lithonia, GA 30038-4675 | 2020-09-11 |
| 1255707204 | Rose Abraham-hampton | Nurse's Aide | 3783 Raiders Ridge Dr, Lithonia, GA 30038-3667 | 2015-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354831 | Genise Collins | Nurse's Aide | 202 Robin Ln, Moultrie, GA 31788-7281 | 2020-10-17 |
| 1902412208 | Toni Brennette Stanford | Nurse's Aide | 600 Mountainview Dr, Covington, GA 30016-7191 | 2020-09-22 |
| 1821604869 | Travise Farmer | Nurse's Aide | 109 Evenview Dr, Jonesboro, GA 30236-4938 | 2020-09-16 |
| 1114532280 | Sabrina Home Health Care | Nurse's Aide | 6265 S Gordon Rd, Austell, GA 30168-5000 | 2020-09-15 |
| 1932714243 | Sabrina Ann Folmar | Nurse's Aide | 1600 Roberta Dr Sw Apt 1110, Marietta, GA 30008-3880 | 2020-09-14 |
| 1851904346 | Shilliane M Green | Nurse's Aide | 935 S Grove Blvd Apt 6, Kingsland, GA 31548-5257 | 2020-08-25 |
| 1477164390 | Shanquetris Williams | Nurse's Aide | 613 Crabapple Pl, Macon, GA 31217-5575 | 2020-08-13 |
| 1316555063 | Jennifer E Williams | Nurse's Aide | 283 Pinehurst Dr, Saint Marys, GA 31558-4639 | 2020-07-20 |
| 1942827381 | Courtney Shanae Smart | Nurse's Aide | 124 Heritage Way, Savannah, GA 31419-9650 | 2020-07-01 |
| 1023634136 | Robyn Mercedes Bell | Nurse's Aide | 2091 Willhaven Dr, Augusta, GA 30909-0653 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
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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.