MRS. ELIZABETH NICOLE RUCKER M.S.
NPI 1770132912
Counselor in Guntersville, AL

Q: What is Elizabeth Rucker's NPI number?

The NPI number for Elizabeth Rucker is 1770132912. It was assigned to this individual provider in the NPPES registry on September 10, 2019. The provider is also known as Ms. Elizabeth Nicole Shaw.

Q: What is Elizabeth Rucker's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Rucker was last updated on September 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 10, 2019PECOS Enrolled

2409 HOMER CLAYTON DRIVE, GUNTERSVILLE, AL 35976(256) 582-3203 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Elizabeth Nicole Rucker M.s. NPPES

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

MRS. ELIZABETH NICOLE RUCKER M.S. (NPI 1770132912) is an individual counselor in Guntersville, Alabama and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1770132912

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMRS. ELIZABETH NICOLE RUCKERCredential: M.S.

Location Address2409 HOMER CLAYTON DRIVEGuntersville, AL 35976

Mailing Address2409 Homer Clayton DriveGuntersville, AL 35976

Phone(256) 582-3203

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 10, 2019

✔ NPI 1770132912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2409 HOMER CLAYTON DRIVE, Guntersville, AL 35976

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Other Names 1

Former Name (1)Ms. Elizabeth Nicole Shaw

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Elizabeth Nicole Rucker M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446733240

PECOS Enrollment IDI20260310003572

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.

Other Providers at the Same Location NPPES 20

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

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