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JAYVANA RUCKER
NPI 1215711064
Specialist - Prosthetics Case Management in Syracuse, NY

Active since August 22, 2023
755 N SALINA ST, SYRACUSE, NY 13208(315) 455-9090 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jayvana Rucker NPPES

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

JAYVANA RUCKER (NPI 1215711064) is an individual prosthetics case management provider in Syracuse, New York and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1215711064
Entity TypeIndividualFemale
Primary Taxonomy1744P3200X
Provider Legal NameJAYVANA RUCKER
Location Address755 N SALINA STSyracuse, NY 13208-2510
Mailing Address755 N Salina StSyracuse, NY 13208-2510 · (315) 455-9090
Phone(315) 455-9090
Sole ProprietorNo
Enumeration DateAugust 22, 2023
NPPES CertifiedAugust 22, 2023
✔ NPI 1215711064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
Definition
Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.
Also ListedProsthetistTaxonomy 224P00000X
755 N SALINA ST, Syracuse, NY 13208
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAYVANA R LLC
Durable Medical Equipment & Medical Supplies
755 N SALINA ST
SYRACUSE, NY 13208
Onondaga County (315) 455-9090

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 Jayvana Rucker's NPI number?

The NPI number for Jayvana Rucker is 1215711064. It was assigned to this individual provider in the NPPES registry on August 22, 2023.

Where is Jayvana Rucker located?

Jayvana Rucker practices at 755 N Salina St, Syracuse, NY 13208. The listed phone number is (315) 455-9090.

What is Jayvana Rucker's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Jayvana Rucker was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.