MARICAROLYN RUCKER (NPI# 1467780304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467780304 |
| Entity Type | Individual |
| Full Name | MARICAROLYN RUCKER |
| Practice Address |
6071 Telegraph Rd Saint Louis MO 63129-4758 |
| Mailing Address |
161 Washington St Eight Tower Suite 1400 Conshohocken PA 19428-2083 |
| Practice Telephone | 8668253227 |
| Mailing Telephone | 8668253227 |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2009-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
141660 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6071 TELEGRAPH RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63129-4758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629151 | Jessica J Woolsey | Pharmacist | 6071 Telegraph Rd, Saint Louis, MO 63129-4758 | 2020-08-12 |
| 1780175299 | Jamie Lauren Partin | Nurse Practitioner | 6071 Telegraph Rd, Saint Louis, MO 63129-4758 | 2018-05-21 |
| 1679077358 | Elizabeth Erin King | Registered Nurse | 6071 Telegraph Rd, Saint Louis, MO 63129-4758 | 2018-03-19 |
| 1568908416 | Amanda Kathleen Jett | Nurse Practitioner | 6071 Telegraph Rd, Saint Louis, MO 63129-4758 | 2017-01-17 |
| 1154742112 | Kathleen Kalz Meyer | Nurse Practitioner | 6071 Telegraph Rd, Saint Louis, MO 63129-4758 | 2013-12-18 |
| 1457636979 | Frank Joseph Homa | Pharmacist | 6071 Telegraph Rd, Saint Louis, MO 63129-4758 | 2011-10-16 |
| 1225312812 | Erin Sweet | Pharmacist | 6071 Telegraph Rd, Saint Louis, MO 63129-4758 | 2011-10-01 |
| 1194005769 | Margaret C Ackland | Pharmacist | 6071 Telegraph Rd, Saint Louis, MO 63129-4758 | 2011-08-26 |
| 1215134150 | Melinda S Tripp | Nurse Practitioner | 6071 Telegraph Rd, Saint Louis, MO 63129-4758 | 2007-07-02 |
| 1477568616 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6071 Telegraph Rd, Saint Louis, MO 63129-4758 | 2006-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447730742 | Total Access Urgent Care, PC | Clinic/Center | 4400 Telegraph Road, 4400 Telegraph Road, St. Louis, MO 63129 | 2018-08-16 |
| 1679061808 | Susan Swyers Grogan | Occupational Therapist | 2806 Flamewood Drive, St. Louis, MO 63129 | 2018-04-24 |
| 1376073981 | Eric Piatchek | Specialist/Technologist | 2661 Bluff Ridge Drive, St. Louis, MO 63129 | 2017-06-15 |
| 1033647144 | Keona E Smith | Nurse Practitioner | 7334 Lindbergh Blvd, Ballwin, MO 63129 | 2017-06-02 |
| 1588036966 | Sarah Michelle Corry | Occupational Therapist | 5043 Telegraph Rd, St Louis, MO 63129 | 2015-10-26 |
| 1598169120 | Vivian Carr | Counselor | 5266 Sir Bors Drive, St. Louis, MO 63129 | 2014-10-10 |
| 1982044327 | Andrew Michael Bryant | Family Medicine | 4280 Mid America Lane, Saint Louis, MO 63129 | 2013-06-30 |
| 1306185533 | John Alexander Miller | Registered Nurse | 4220 Robert Koch Hospital Rd, Saint Louis, MO 63129 | 2013-02-07 |
| 1346597457 | Pain and Performance Relief LLC | Physical Medicine & Rehabilitation | 4175 Crescent Dr Ste A, Saint Louis, MO 63129 | 2012-08-08 |
| 1366721516 | Teresa Lyn Bitter | Speech-Language Pathologist | 7325 Summerview Manor Lane, St. Louis, MO 63129 | 2011-08-05 |
| Find all providers in zip 63129 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720816 | Blake Christian Cory | Nurse Practitioner | 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 | 2020-11-08 |
| 1265032346 | Sara Lynn Gillespie | Nurse Practitioner | 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 | 2020-10-28 |
| 1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
| 1467059972 | Anissa Rasul | Nurse Practitioner | 10631 Thayer Dr, Saint Louis, MO 63123-6018 | 2020-10-07 |
| 1124635388 | Brittney Sherrell Burks | Nurse Practitioner | 10314 Briar Hollow Dr Apt 7, Saint Louis, MO 63146-5777 | 2020-09-30 |
| 1629684865 | Nicole Burdge | Nurse Practitioner | 9230 Laurel Hill Dr, Saint Louis, MO 63126-2820 | 2020-09-22 |
| 1932724614 | Oluwatoyin Olufunke Adegboyega | Nurse Practitioner | 3318 Saint Vincent Ave, Saint Louis, MO 63104-1338 | 2020-06-09 |
| 1497376487 | Jessica A Spring | Nurse Practitioner | 6023 Lansdowne Ave, Saint Louis, MO 63109-2243 | 2020-04-30 |
| 1932728466 | Lucy Wachuka Kamau | Nurse Practitioner | 4412 Clarence Ave, Saint Louis, MO 63115-3108 | 2020-04-14 |
| 1275169567 | Lindsay Jones | Nurse Practitioner | 1115 Olivette Executive Pkwy Ste 100, Saint Louis, MO 63132-3265 | 2020-03-18 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63129 |
Please comment or provide details below to improve the information on MARICAROLYN 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.