MS. DIANE L RUCKERT (NPI# 1720028673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720028673 |
| Entity Type | Individual |
| Full Name | MS. DIANE L RUCKERT |
| Credential | CRNP |
| Practice Address |
400 W 7th St Frederick MD 21701 |
| Mailing Address |
Po Box 37086 Baltimore MD 21297-3086 |
| Practice Telephone | 2405663031 |
| Practice Fax Number | 2404398910 |
| Mailing Telephone | 2404398913 |
| Mailing Fax Number | 2404398910 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2019-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R115108 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 516 Trail Ave, Frederick, MD 217014942 | 2405663030 | 2405663040 |
| Street Address |
400 W 7TH ST |
| City | FREDERICK |
| State | MD |
| Zip Code | 21701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538165527 | Frederick Health Hospital Inc | Clinic/Center | 400 W 7th St, Frederick, MD 21701-4506 | 2005-06-23 |
| 1356949788 | Marianne L. Hiles | Clinical Nurse Specialist | 400 W 7th St, Frederick, MD 21701-4506 | 2020-10-16 |
| 1689271660 | Allison June Wadding | Nurse Anesthetist, Certified Registered | 400 W 7th St, Frederick, MD 21701-4506 | 2020-10-03 |
| 1184235681 | Sarah Queena D. Oliveira | Registered Nurse | 400 W 7th St, Frederick, MD 21701-4506 | 2020-08-10 |
| 1407480361 | Frederick Health Hospital Inc | Pharmacy | 400 W 7th St, Frederick, MD 21701-4506 | 2020-02-28 |
| 1053942284 | Roy Degrange Jr. | Registered Nurse | 400 W 7th St, Frederick, MD 21701-4506 | 2020-01-27 |
| 1326684051 | Fiona Dias | Social Worker | 400 W 7th St, Frederick, MD 21701-4506 | 2019-11-18 |
| 1891330908 | Heather Ashley Hayes | Nurse Practitioner | 400 W 7th St, Frederick, MD 21701-4506 | 2019-11-12 |
| 1528619376 | Margaret M Mcneill | Clinical Nurse Specialist | 400 W 7th St, Frederick, MD 21701-4506 | 2019-09-24 |
| 1477104560 | Luisa Buntin | Nurse Practitioner | 400 W 7th St, Frederick, MD 21701-4506 | 2019-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670045 | Alana Earp | Social Worker | 810 Toll House Avenue, Frederick, MD 21701 | 2019-10-14 |
| 1851866065 | Main Place Treatment Centers LLC. | Clinic/Center | 127 S. Smallwood Street, Frederick, MD 21701 | 2018-10-04 |
| 1649775933 | Old Fashion Medicine, Inc | Internal Medicine | 95 Gatepost Lane, Apartment 1b, Frederick, MD 21701 | 2018-03-28 |
| 1063917938 | Kristin Deely | Nurse Practitioner | 400 West 7th Street, Cardiac Cath Lab 2nd Floor, Frederick, MD 21701 | 2018-03-24 |
| 1689180119 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 300 B Scholls Lane, Frederick, MD 21701 | 2017-12-20 |
| 1326590068 | Natalie Reid | Nurse Practitioner | 9093 Ridgefield Dr Ste 104, Frederick, MD 21701 | 2016-10-28 |
| 1649727967 | Scl Corpration | In Home Supportive Care | 550 Highland Street, Suite 110, Frederick, MD 21701 | 2016-09-02 |
| 1891159661 | Wellave, LLC | Clinic/Center | 411 Aviation Way Ste 245, Frederick, MD 21701 | 2016-04-07 |
| 1144694969 | Leslee Bry | Counselor | 120 W Church St Ste 3b, Frederick, MD 21701 | 2015-11-17 |
| 1851797732 | Frederick Dental | Dentist | 401 W 7th Street, Frederick Dental, Frederick, MD 21701 | 2014-11-05 |
| Find all providers in zip 21701 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877279 | Katherine O'bryan | Nurse Practitioner | 176 Thomas Johnson Dr Ste 103, Frederick, MD 21702-4529 | 2020-06-27 |
| 1902290935 | Christianna Joyce Mayberry | Nurse Practitioner | 3913 Shawfield Ln, Frederick, MD 21704-7906 | 2015-03-27 |
| 1992097265 | Amy Fox | Nurse Practitioner | 6695 Stoneridge Ct., Frederick, MD 21702 | 2011-05-05 |
| 1508162306 | Shirley Coffie | Nurse Practitioner | 1050 Key Parkway, Suite 103, Frederick, MD 21702 | 2011-01-27 |
| 1366601361 | Melissa Ramey Bolden | Nurse Practitioner | 8927 Fingerboard Rd, Suite E, Frederick, MD 21704-8164 | 2008-06-04 |
| 1275629776 | Mary Bernadette Sheehy | Nurse Practitioner | Fmh Wellness Center 5500 Buckeystown Pike, Corpohs Prospect Plaza, Frederick, MD 21703 | 2006-10-04 |
| 1639161367 | Kathryn A. Fletcher | Nurse Practitioner | 5500 Buckeystown Pike, Frederick, MD 21703-8331 | 2005-08-18 |
| 1619583200 | Md Matt LLC | Nurse Practitioner | 309 E Patrick St, Frederick, MD 21701-6792 | 2020-09-18 |
| 1508428103 | Constance Maria Derosa | Nurse Practitioner | 1562 Opossumtown Pike, Frederick, MD 21702-4920 | 2019-07-03 |
| 1700332616 | Callie Lesher | Nurse Practitioner | 347 Ballenger Center Dr, Frederick, MD 21703-7095 | 2016-08-31 |
| Find all providers in FREDERICK | ||||
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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.