MR. NICHOLAS DEWAYNE RUCKER
NPI 1700046059
Case Manager/Care Coordinator in Little Rock, AR

Q: What is Nicholas Rucker's NPI number?

The NPI number for Nicholas Rucker is 1700046059. It was assigned to this individual provider in the NPPES registry on June 11, 2008.

Q: What is Nicholas Rucker's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Rucker was last updated on June 11, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 11, 2008

6425 W 12TH ST, LITTLE ROCK, AR 72204(501) 666-7233(501) 660-6834 Get Directions Write a Review

NPPES record last updated: June 11, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Nicholas Dewayne Rucker NPPES

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

MR. NICHOLAS DEWAYNE RUCKER (NPI 1700046059) is an individual case manager/care coordinator provider in Little Rock, Arkansas and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1700046059

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameMR. NICHOLAS DEWAYNE RUCKER

Location Address6425 W 12TH STLittle Rock, AR 72204-1509

Mailing AddressPo Box 251970Little Rock, AR 72225-1970 · (501) 660-6886 · Fax (501) 660-6830

Phone(501) 666-7233

Fax(501) 660-6834

Sole ProprietorNo

Enumeration DateJune 11, 2008

✔ NPI 1700046059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

6425 W 12TH ST, Little Rock, AR 72204

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