GUY H. J. RUDDICK FNP NPI 1285774844

NPI Information

  • NPI: 1285774844
  • Provider Name: GUY H. J. RUDDICK, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3231 S NATIONAL AVE
    SPRINGFIELD, MO
    ZIP 65807
  • Phone: (417) 888-5666

Map and Directions

Get Directions

NPI Details

Guy H. J. Ruddick, FNP is a family nurse practitioner in Springfield, MO. Guy H. J. Ruddick, FNP NPI is 1285774844. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3231 S NATIONAL AVE
SPRINGFIELD, MO
ZIP 65807-304
Phone: (417) 888-5666
Fax: (417) 890-4174

The NPI 1285774844 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 7/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily2000161005MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000081417MEDICARE PINMISSOURI
2426004305MEDICAIDMISSOURI
3P76187MEDICARE UPINMISSOURI
482290OTHERMISSOURIAR BLUE SHIELD #
5837473230MEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI