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MR. WILLIAM TRAVIS RUCKER SR.
NPI 1003607839
Peer Specialist in Indianapolis, IN

Active since May 13, 2025
5525 GREENFIELD AVE, INDIANAPOLIS, IN 46219(317) 868-6944(317) 868-6944 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. William Travis Rucker Sr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. WILLIAM TRAVIS RUCKER SR. (NPI 1003607839) is an individual peer specialist in Indianapolis, Indiana and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1003607839
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. WILLIAM TRAVIS RUCKER SR.
Location Address5525 GREENFIELD AVEIndianapolis, IN 46219-7113
Mailing Address5525 Greenfield AveIndianapolis, IN 46219-7113 · (317) 868-6944 · Fax (317) 868-6944
Phone(317) 868-6944
Fax(317) 868-6944
Sole ProprietorYes
Enumeration DateMay 13, 2025
NPPES CertifiedMay 13, 2025
✔ NPI 1003607839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
5525 GREENFIELD AVE, Indianapolis, IN 46219
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Rucker's NPI number?

The NPI number for William Rucker is 1003607839. It was assigned to this individual provider in the NPPES registry on May 13, 2025.

Where is William Rucker located?

William Rucker practices at 5525 Greenfield Ave, Indianapolis, IN 46219. The listed phone number is (317) 868-6944.

What is William Rucker's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for William Rucker was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.