Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shanna Rucker, NP

Individual provider Family Nurse Practitioner · NPI 1194307421

Shanna Rucker, NP is a Nurse Practitioner in Los Angeles, California. Qualified in 2020, 6 years ago. Practices as a sole proprietor and offers telehealth. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2021
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2707 S Central Ave
Los Angeles, CA 90011-5527
Phone: (702) 612-6316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95017042 (CA)

Record details

NPI number1194307421
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedApril 26, 2021
Last updated in NPPESApril 26, 2021
Certification dateApril 26, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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