KE'ARA DENAE TUCKER (NPI# 1104472869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104472869 |
| Entity Type | Individual |
| Full Name | KE'ARA DENAE TUCKER |
| Practice Address |
402 E College St Bridgewater VA 22812 |
| Mailing Address |
1456 Bradley Dr Harrisonburg VA 22801-5252 |
| Practice Telephone | 5402828000 |
| Mailing Telephone | 4342100755 |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 402 E College St, Bridgewater, VA 22812 | 5402828000 |
| Street Address |
402 E COLLEGE ST |
| City | BRIDGEWATER |
| State | VA |
| Zip Code | 22812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575404 | Rodney Terence Scott Jr. | Specialist/Technologist | 402 E College St, Bridgewater, VA 22812-1511 | 2020-10-13 |
| 1134736804 | Brianna Kierra Blackshear | Specialist/Technologist | 402 E College St, Bridgewater, VA 22812-1599 | 2020-09-28 |
| 1467069344 | Kalyn Wilder | Specialist/Technologist | 402 E College St, Bridgewater, VA 22812-1511 | 2020-09-25 |
| 1194331819 | Abel Ameyaw | Specialist/Technologist | 402 E College St, Bridgewater, VA 22812-1511 | 2020-09-17 |
| 1366058166 | Michael Stephen Bright | Specialist/Technologist | 402 E College St, Bridgewater, VA 22812-1599 | 2020-09-17 |
| 1881209914 | Erica Brooke Kiessling | Specialist/Technologist | 402 E College St, Bridgewater, VA 22812-1511 | 2020-09-15 |
| 1891313896 | Leah Washington | Specialist/Technologist | 402 E College St, Bridgewater, VA 22812-1511 | 2020-07-07 |
| 1750932513 | Marla K O'bryan | Student in an Organized Health Care Education/Training Program | 402 E College St, Bridgewater, VA 22812-1599 | 2019-09-24 |
| 1750930327 | Paul Russell Brown II | Student in an Organized Health Care Education/Training Program | 402 E College St, Bridgewater, VA 22812-1511 | 2019-09-06 |
| 1316595432 | Christopher Moore | Student in an Organized Health Care Education/Training Program | 402 E College St, Bridgewater, VA 22812-1511 | 2019-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637242 | Hastings Healthcare, LLC | General Practice | Hastings Medical Clinic of Bridgewater, 110 North Main Street Suite A, Bridgewater, VA 22812 | 2020-10-21 |
| 1316469687 | Jasmine Taylor Pinder | Specialist/Technologist | 402 East College Street, Bridgewater, VA 22812 | 2017-07-08 |
| 1548643547 | Gail E. Reese | Behavioral Analyst | 5630 Glade View Drive, Bridgewater, VA 22812 | 2015-07-08 |
| 1992915557 | Richard M. Smith | Dentist | 100 Parkside Drive, Bridgewater, VA 22812 | 2007-05-23 |
| 1003914144 | Donald Richard Bell | Chiropractor | 102 E College St, Bridgewater, VA 22812 | 2006-09-20 |
| 1871534933 | Jonathan David Moss | Family Medicine | 100 Health Center Dr, Bridgewater, VA 22812 | 2006-06-09 |
| 1225112402 | Bridgewater Chiropractic Center | Chiropractor | 102 E College St, Bridgewater, VA 22812 | 2006-10-25 |
| 1669847471 | Barbara Dotson-brooner | Student in an Organized Health Care Education/Training Program | 109 Nover Dr, Bridgewater, VA 22812-1012 | 2015-12-04 |
| 1578074563 | Pamela R Gipson | Nurse Practitioner | 117 College View Drive, Bridgewater, VA 22812-1114 | 2017-10-17 |
| 1174500094 | Rufus C Huffman | Family Medicine | 200 High St, Bridgewater, VA 22812-1114 | 2005-12-30 |
| Find all providers in zip 22812 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710594163 | Jaclyn F Clifford | Student in an Organized Health Care Education/Training Program | 465 Forest St, Bridgewater, MA 02324-2914 | 2020-09-29 |
| 1851911499 | Nhung K Nguyen | Student in an Organized Health Care Education/Training Program | 24 Beekman Rd, Bridgewater, NJ 08807-2625 | 2020-04-23 |
| 1902432834 | Max Ward | Student in an Organized Health Care Education/Training Program | 571 Glen Ridge Dr S, Bridgewater, NJ 08807-1675 | 2020-03-23 |
| 1174164586 | Meaghan Rose Kenney | Student in an Organized Health Care Education/Training Program | 270 Flagg St, Bridgewater, MA 02324-3302 | 2019-10-07 |
| 1669959623 | Dhaval Shah | Student in an Organized Health Care Education/Training Program | 6 Lawton Rd, Bridgewater, NJ 08807-2145 | 2018-07-23 |
| 1205330214 | Courtney Alyce Sutherland | Student in an Organized Health Care Education/Training Program | 6 Meadow Ln Apt 4, Bridgewater, MA 02324-1811 | 2018-03-23 |
| 1730683020 | Celeste Arkady Azevedo | Student in an Organized Health Care Education/Training Program | 10 Mcgovern Ct, Bridgewater, NJ 08807-2576 | 2018-03-21 |
| 1518476779 | Takaaki Kodani | Student in an Organized Health Care Education/Training Program | 131 Summer Street, Bridgewater, MA 02324 | 2017-09-20 |
| 1669847471 | Barbara Dotson-brooner | Student in an Organized Health Care Education/Training Program | 109 Nover Dr, Bridgewater, VA 22812-1012 | 2015-12-04 |
| 1477946036 | Vivek Subramanian Prakash | Student in an Organized Health Care Education/Training Program | 49 Reinhart Way, Bridgewater, NJ 08807-5709 | 2015-03-06 |
| Find all providers in BRIDGEWATER | ||||
| City | BRIDGEWATER |
| Zip Code | 22812 |
Please comment or provide details below to improve the information on KE'ARA DENAE 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.