TRACY MICHELLE TUCKER (NPI# 1053732552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053732552 |
| Entity Type | Individual |
| Full Name | TRACY MICHELLE TUCKER |
| Credential | FNP |
| Practice Address |
2307 Laporte Ave Ste 8 Valparaiso IN 46383-6997 |
| Mailing Address |
Po Box 781076 Detroit MI 48278-1076 |
| Practice Telephone | 2194647073 |
| Practice Fax Number | 2194647543 |
| Mailing Telephone | 3175284800 |
| Mailing Fax Number | 3178651479 |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2020-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
71004771A | IN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71004771A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300003763 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2307 Laporte Ave Ste 8, Valparaiso, IN 463836997 | 2194647073 | 2194647543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861539173 | Tracy Tucker | Social Worker | 2355 S Arlington Heights Rd, Suite 210, Arlington Heights, IL 60005-4506 | 2007-01-30 |
| 1992051213 | Tracy De Ann Tucker | Clinical Nurse Specialist | 300 Carson St, Jonesboro, AR 72401 | 2012-07-24 |
| 1548316235 | Tracy Lee Tucker | Speech-Language Pathologist | 300 N Kentucky Ave, Roswell, NM 88201-4636 | 2007-01-26 |
| 1568491348 | Tracy L Tucker | Emergency Medicine | 1201 W 12th Ave, Emporia, KS 66801-2504 | 2006-07-02 |
| Street Address |
2307 LAPORTE AVE STE 8 |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383-6997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215586565 | Elizabeth A Weaver | Nurse Practitioner | 2307 Laporte Ave Ste 8, Valparaiso, IN 46383-6997 | 2019-09-10 |
| 1972964484 | Jessica Renee Gruenhagen | Nurse Practitioner | 2307 Laporte Ave Ste 8, Valparaiso, IN 46383-6997 | 2016-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902436330 | Angela Nicole Demorotski | Nurse Practitioner | 2301 Nottingham Dr, Valparaiso, IN 46383-9182 | 2020-01-24 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1154834372 | Victoria Marie Schwarten | Nurse Practitioner | 2307 Laporte Ave Suite 8, Valparaiso, IN 46383 | 2017-11-09 |
| 1083081129 | Juana Maria Ambriz De Williams | Nurse Practitioner | 2005 Valparaiso St Ste 210, Valparaiso, IN 46383-3329 | 2015-08-24 |
| 1205124179 | Kelley L Eshenaur | Nurse Practitioner | 55 University Drive, Suite 102, Valparaiso, IN 46383 | 2011-07-13 |
| 1972731883 | Marty Lee Walker | Nurse Practitioner | 444 Valparaiso Pkwy, Bld C, Valparaiso, FL 32580-1206 | 2009-06-30 |
| 1023277738 | Chrysanthemum M Davis | Nurse Practitioner | 1551 South Sturdy Rd., Valparaiso, IN 46383-7883 | 2008-06-06 |
| 1831317809 | Elise Marta Alverson | Nurse Practitioner | 1406 Laporte Ave, Valparaiso University Health Center, Valparaiso, IN 46383 | 2007-04-23 |
| 1275669079 | Jayne Lee Targgart | Nurse Practitioner | 909 Tiller Dr, Valparaiso, IN 46385-1304 | 2007-02-26 |
| 1376601963 | Margaret Marie Sabo | Nurse Practitioner | 2803 Boilermaker Ave, 1f, Valparaiso, IN 46383-8412 | 2006-12-05 |
| Find all providers in VALPARAISO | ||||
| City | VALPARAISO |
| Zip Code | 46383 |
Please comment or provide details below to improve the information on TRACY MICHELLE TUCKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.