TATYANA EASTLYN JACK RUDDOCK CNM, ARNP
NPI 1144722422
Advanced Practice Midwife in Ft Lauderdale, FL

Active since March 02, 2018PECOS EnrolledAccepts Medicare Assignment
1625 SE 3RD AVE STE 502, FT LAUDERDALE, FL 33316(954) 581-8706 Get Directions Write a Review

NPPES record last updated: March 2, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1144722422
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameTATYANA EASTLYN JACK RUDDOCKCredential: CNM, ARNP
Location Address1625 SE 3RD AVE STE 502Ft Lauderdale, FL 33316-2521
Mailing Address7331 Nw 35th StLauderhill, FL 33319-4913 · (954) 529-1607
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 2, 2018
NPI 1144722422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License Licensed in FL · 9314525
Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

1625 SE 3RD AVE STE 502, Ft Lauderdale, FL 33316

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.

PECOS PAC ID3971841586
PECOS Enrollment IDI20251027004086
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Practitioner (Obstetrics & Gynecology)
1625 SE 3RD AVE STE 502
FORT LAUDERDALE, FL 33316
Advanced Practice Midwife
1625 SE 3RD AVE STE 502
FORT LAUDERDALE, FL 33316
Advanced Practice Midwife
1625 SE 3RD AVE STE 502
FORT LAUDERDALE, FL 33316
Advanced Practice Midwife
1625 SE 3RD AVE STE 502
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 with the weekly NPPES data releases published by CMS.