AMY D RUCKMAN (NPI# 1366059818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366059818 |
| Entity Type | Individual |
| Full Name | AMY D RUCKMAN |
| Credential | PEL |
| Practice Address |
407 S Edwards St Altamont IL 62411-1799 |
| Practice Telephone | 6184835171 |
| Practice Fax Number | 6184836793 |
| Mailing Telephone | 6184835171 |
| Mailing Fax Number | 6184836793 |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
448350 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PEL | 448350 | 01 |
| Street Address |
407 S EDWARDS ST |
| City | ALTAMONT |
| State | IL |
| Zip Code | 62411-1799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386251825 | Karie A Schultz | Speech-Language Pathologist | 407 S Edwards St, Altamont, IL 62411-1701 | 2020-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972823631 | Springfield Clinic LLP | Clinic/Center | 3 Do It Drive, Altamont, IL 62411 | 2010-06-04 |
| 1356536569 | Allison Rose Schumacher | Dentist | 1 S 3rd St., Altamont, IL 62411 | 2007-09-11 |
| 1497736268 | Lutheran Care Center | Clinic/Center | 702 W Cumberland Rd, Altamont, IL 62411-1053 | 2005-11-09 |
| 1790828952 | Christopher James Sehy | Dentist | 1 S 3rd St, Altamont, IL 62411-1101 | 2007-02-15 |
| 1558545467 | Carla Beck | Early Intervention Provider Agency | 12 S 3rd St, Altamont, IL 62411-1102 | 2007-12-27 |
| 1336245315 | Altamont Ambulance Service, Inc. | Ambulance | 2 S Main St, Altamont, IL 62411-1134 | 2006-09-16 |
| 1568449098 | Robert W Frost | Family Medicine | 3 Do It Dr, Altamont, IL 62411-1135 | 2005-12-27 |
| 1679108351 | Hshs Medical Group Inc | Clinic/Center | 3 Do It Dr, Altamont, IL 62411-1135 | 2020-03-03 |
| 1366930281 | Springfield Clinic LLP | Clinical Medical Laboratory | 3 Do It Dr, Altamont, IL 62411-1135 | 2018-04-26 |
| 1609322585 | Tammy L. Sasse | Nurse Practitioner | 3 Do It Dr, Altamont, IL 62411-1135 | 2016-08-30 |
| Find all providers in zip 62411 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730462524 | Kenneth G Jacobs | Social Worker | 6292 Gardner Rd, Altamont, NY 12009-5016 | 2011-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568080612 | Jordan Coleman | Social Worker | 1421 Marshall Ave, Mattoon, IL 61938-5341 | 2020-07-06 |
| 1164063632 | John Naret | Social Worker | 9130 S 52nd Ave, Oak Lawn, IL 60453-1799 | 2019-10-04 |
| 1306496393 | Marie Nagle | Social Worker | 6316 157th St, Oak Forest, IL 60452-2710 | 2019-09-12 |
| 1639641376 | Brandon Christensen | Social Worker | 110 Collins St, Joliet, IL 60432-2942 | 2018-12-19 |
| 1558847335 | Inner Balance Wellness | Social Worker | 303 E Army Trail Rd Ste 207, Bloomingdale, IL 60108-2143 | 2018-07-16 |
| 1538675244 | Mary Elizabeth Hall | Social Worker | 411 Stave Mill Rd, Murphysboro, IL 62966-4888 | 2017-12-18 |
| 1184133084 | Andrea Lynn Geis | Social Worker | 50 Blackwood Dr, Murphysboro, IL 62966-2937 | 2017-09-22 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1528587318 | Jaclyn Hood | Social Worker | 3945 Wehrman, Schiller Park, IL 60176 | 2017-09-13 |
| 1063930675 | Haley Estes | Social Worker | 413 N. Appleknocker Drive, Cobden, IL 62920 | 2017-09-04 |
| 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.