TATYANA EASTLYN JACK RUDDOCK CNM, ARNP
NPI 1144722422
Advanced Practice Midwife in Ft Lauderdale, FL
About Tatyana Eastlyn Jack Ruddock Cnm, Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TATYANA EASTLYN JACK RUDDOCK CNM, ARNP (NPI 1144722422) is an individual advanced practice midwife in Ft Lauderdale, Florida, licensed in Florida (9314525) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tatyana Eastlyn Jack Ruddock Cnm, Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33316 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT LAUDERDALE, FL 33316
FORT LAUDERDALE, FL 33316
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 Tatyana Jack Ruddock's NPI number?
The NPI number for Tatyana Jack Ruddock is 1144722422. It was assigned to this individual provider in the NPPES registry on March 2, 2018.
Where is Tatyana Jack Ruddock located?
Tatyana Jack Ruddock practices at 1625 SE 3rd Ave Ste 502, Ft Lauderdale, FL 33316. The listed phone number is (954) 581-8706.
What is Tatyana Jack Ruddock's specialty?
The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.
Is Tatyana Jack Ruddock enrolled in Medicare?
Yes. Tatyana Jack Ruddock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Tatyana Jack Ruddock accept?
Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Tatyana Jack Ruddock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tatyana Jack Ruddock was last updated on March 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.
# Tatyana Eastlyn Jack Ruddock, CNM, ARNP · NPI 1144722422
Advanced Practice Midwife physician in Ft Lauderdale, Florida. Individual provider, active in the CMS NPPES registry since March 2, 2018.
## Identity
- **NPI:** 1144722422 (Entity type: Individual)
- **Enumerated:** March 2, 2018
- **Primary specialty:** Advanced Practice Midwife · taxonomy 367A00000X
- **State license:** 9314525 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1625 SE 3RD AVE STE 502, Ft Lauderdale, FL 33316-2521
- **Phone:** (954) 581-8706
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 2, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1144722422) · Data from the CMS NPPES public registry.