MARY L TUCKER (NPI# 1093054710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093054710 |
| Entity Type | Individual |
| Full Name | MARY L TUCKER |
| Practice Address |
1601 Banning Beach Rd Tavares FL 32778-2024 |
| Mailing Address |
938 Washington St Leesburg FL 34748 |
| Practice Telephone | 3527428020 |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2013-02-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1300003064 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114537180 | Mary Tucker | Technician | 361 Riffes Br, Rhodell, WV 25915-9102 | 2020-08-05 |
| 1851812846 | Mary Beth Tucker | Speech-Language Pathologist | 141 Dalton St, Shreveport, LA 71106-7401 | 2017-06-29 |
| 1790163814 | Mary Elizabeth Tucker | Physician Assistant | 1500 S 48th St., Suite 800, Lincoln, NE 68506-1200 | 2015-05-08 |
| 1275971236 | Mary Elizabeth Tucker | Social Worker | 3265 Wilmington Rd, Montgomery, AL 36105-1824 | 2013-06-11 |
| 1881954493 | Mary Jean Tucker | Registered Nurse | 50 S Brookside Ave, Freeport, NY 11520-3144 | 2012-05-17 |
| 1356618771 | Mary H Tucker | Physical Therapist | 4911 Stelton Rd Ste 3, South Plainfield, NJ 07080-1113 | 2011-11-30 |
| 1942534532 | Mary Sue Tucker | Licensed Practical Nurse | 1186 Truxell Drive, Mansfield, OH 44906 | 2009-09-29 |
| 1487813028 | Mary Catherine Tucker | Counselor | 1511 College of Education, Indiana State University, Terre Haute, IN 47809-0001 | 2008-06-09 |
| 1821206889 | Mary Margaret Tucker | Mechanotherapist | 3001 Mallard Dr, Deltona, FL 32738-8939 | 2007-05-21 |
| 1891903514 | Mary Sharon Tucker | Social Worker | 4 Stuart Ave, Narberth, PA 19072-2120 | 2007-05-18 |
| Street Address |
1601 BANNING BEACH RD |
| City | TAVARES |
| State | FL |
| Zip Code | 32778-2024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487173753 | Erica Denise Irvin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4681 Marsh Harbor Dr, Tavares, FL 32778 | 2017-09-18 |
| 1922522499 | J&t Divine Care | Home Health | 1554 Auburn Hills Ct, Tavares, FL 32778 | 2017-07-27 |
| 1841738721 | Kelli Maragh | Behavior Technician | 12237 Tavares Ridge Circle, Tavares, FL 32778 | 2017-02-10 |
| 1831633692 | Amanda Williams Sellers | Nurse Practitioner | 1858 Mayo Dr, Tavares, FL 32778 | 2016-12-13 |
| 1235680042 | Natalie Roaine Ash-maheux | Occupational Therapist | 4501 Waterman Way, Tavares, FL 32778 | 2016-10-17 |
| 1396295713 | Sumiko Burley- Collins | Community Health Worker | 1572 Auburn Hills Court, Tavares, FL 32778 | 2016-10-10 |
| 1295100980 | Sunshine Therapy Group, Pa | Speech-Language Pathologist | 2050 Classique Lane, Tavares, FL 32778 | 2015-12-06 |
| 1093188385 | Jana Michelle England | Counselor | 1300 Duncan, Tavares, FL 32778 | 2015-11-09 |
| 1467865980 | Reshma Balmick | Hearing Instrument Specialist | 500 West Burleigh Blvd., Tavares, FL 32778 | 2014-06-03 |
| 1861825739 | Shelagh Kathryn Wood-gouveia | Nurse Practitioner | 1390 East Burleigh Blvd., Tavares, FL 32778 | 2013-08-15 |
| Find all providers in zip 32778 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487129383 | Nadine Bridges | Counselor | 820 S Duncan Dr, Tavares, FL 32778-4044 | 2018-10-06 |
| 1285173724 | Erin Catherine O'connor | Counselor | 322 N Barrow Ave, Tavares, FL 32778-3002 | 2017-02-16 |
| 1043697394 | Jesse Collop | Counselor | 1300 S Duncan Dr Bldg C, Tavares, FL 32778-4223 | 2015-05-06 |
| 1023359528 | Lashawn Lewis Gill | Counselor | 1707 Mayo Dr, Tavares, FL 32778-4307 | 2013-03-07 |
| 1326344862 | Megan M Kriebel | Counselor | 1300 S Duncan Dr Ste E, Tavares, FL 32778-4206 | 2011-02-01 |
| 1639405244 | Tara M. Kapinos | Counselor | 373 W Alfred St, Tavares, FL 32778-3270 | 2009-11-02 |
| 1154514354 | Living Life, LLC | Counselor | 2762 Dora Avenue, Suite 2762, Tavares, FL 32778-4970 | 2007-08-21 |
| 1518011352 | Triad Psychological Services, P.a. | Counselor | 1609 Banning Beach Rd, Tavares, FL 32778-2024 | 2007-01-22 |
| 1639220643 | Pamela D. Duvall | Counselor | 2762 Dora Ave., Tavares, FL 32778 | 2007-01-16 |
| 1043311657 | Phyllis Wesley | Counselor | 305 N Saint Clair Abrams Ave, Tavares, FL 32778-3064 | 2006-09-26 |
| Find all providers in TAVARES | ||||
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| 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.