KELLY A TUCKER (NPI# 1104962083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104962083 |
| Entity Type | Individual |
| Full Name | KELLY A TUCKER |
| Credential | MCD, CCC-SLP |
| Practice Address |
909 W. Alabama Ave. Lafayette AL 36862 |
| Mailing Address |
Po Box 235 Lafayette AL 36862-0235 |
| Practice Telephone | 3347571490 |
| Mailing Telephone | 3347571490 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 1810 | AL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUECROSS BLUESHIELD | 515-38005 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245728237 | Kelly Jean Tucker | Counselor | 9 W Summit Ave # B, Asheville, NC 28803-0047 | 2018-04-25 |
| 1205070976 | Kelly A Tucker | Registered Nurse | 1523 Camp St, Sandusky, OH 44870-3162 | 2009-04-27 |
| 1023543063 | Kelly Tucker | Student in an Organized Health Care Education/Training Program | 410 W 10th Ave, Columbus, OH 43210-1240 | 2017-04-27 |
| 1790156164 | Kelly C Tucker | Nurse Practitioner | 800 N Maitland Ave Ste 101, Maitland, FL 32751-4499 | 2015-10-12 |
| 1164815866 | Kelly Tucker | Registered Nurse | 1600 S Andrews Ave, Third Floor, Fort Lauderdale, FL 33316-2510 | 2015-03-05 |
| 1982092144 | Kelly Ann Tucker | Licensed Practical Nurse | 1100 Warburton Ave, 4p, Yonkers, NY 10701-1009 | 2014-12-22 |
| 1295060499 | Kelly Ann Tucker | Community Health Worker | 4371 E 72nd Ave, Commerce City, CO 80022-1471 | 2009-10-06 |
| 1295754927 | Kelly Tucker | Physical Therapist | 5161 E Arapahoe Rd, 250, Centennial, CO 80122-2387 | 2006-07-19 |
| 1356372643 | Kelly J Tucker | Internal Medicine | 1140 W. La Veta Ave, Suite # 640, Orange, CA 92868-4228 | 2006-07-05 |
| 1871568782 | Kelly Wade Tucker | Family Medicine | 2520 W 16th St, Greeley, CO 80634-4902 | 2006-02-22 |
| Street Address |
909 W. ALABAMA AVE. |
| City | LAFAYETTE |
| State | AL |
| Zip Code | 36862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356530372 | Central Alabama Comprehensive Health, Inc. | Clinic/Center | 404b 9th Ave S.w., Lafayette, AL 36862 | 2007-10-16 |
| 1275640633 | Donald H Busby Dmd PC | Dentist | 134 1st St Se, Lafayette, AL 36862 | 2006-08-23 |
| 1861420408 | Lafayette Nursing Home LLC | Skilled Nursing Facility | 555 B Street, Lafayette, AL 36862-0109 | 2006-06-30 |
| 1528169216 | City of Lafayette Ems | Ambulance | 56 2nd Ave Sw, Lafayette, AL 36862-1945 | 2006-09-26 |
| 1760550321 | City of Lafayette | Ambulance | 56 2nd Ave Sw, Lafayette, AL 36862-1945 | 2006-12-01 |
| 1871863936 | Lafayette Chiropractic | Chiropractor | 10 2nd Ave Se, Lafayette, AL 36862-2021 | 2012-01-06 |
| 1497837421 | Roger Vines LLC | Ambulance | 211 B St, Lafayette, AL 36862-2095 | 2006-10-19 |
| 1790824696 | Chambers County Board of Education | Local Education Agency (LEA) | 202 1st Ave Se, Lafayette, AL 36862-2102 | 2007-02-06 |
| 1396806121 | Terry Yvonne Vester | Family Medicine | 140 1st St Se, Lafayette, AL 36862-2304 | 2006-12-13 |
| 1376864033 | David Reid Spivey | Dentist | 134 1st St Se, Lafayette, AL 36862-2304 | 2010-06-17 |
| Find all providers in zip 36862 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051987 | Chit-chat Pediatric Therapy Services | Speech-Language Pathologist | 304 La Rue France, Lafayette, LA 70508-3134 | 2020-10-26 |
| 1295334704 | Layne Erica Dupre | Speech-Language Pathologist | 304 La Rue France Ste 101, Lafayette, LA 70508-3136 | 2020-10-26 |
| 1386259380 | Natalie Dronet Weaver | Speech-Language Pathologist | 345 Doucet Rd Ste 222, Lafayette, LA 70503-3490 | 2020-09-15 |
| 1801400262 | Chelsey Fuselier Scherer | Speech-Language Pathologist | 225 Ardenwood Dr, Lafayette, LA 70508-7366 | 2020-09-03 |
| 1710598594 | Andria Grace Workman | Speech-Language Pathologist | 3771 Laramie Dr, Lafayette, IN 47905-4022 | 2020-08-13 |
| 1003433004 | Laura Frances Landry | Speech-Language Pathologist | 200 Lakewood Dr, Lafayette, LA 70503-2214 | 2020-06-25 |
| 1154955938 | Kelly Ann Leleux | Speech-Language Pathologist | 105 Anaheim Ln, Lafayette, LA 70508-8058 | 2020-03-02 |
| 1326679143 | Elisabeth Robertson | Speech-Language Pathologist | 227b Bendel Rd., Ste. C, Lafayette, LA 70503 | 2020-01-30 |
| 1891335550 | Nicolette R Selensky | Speech-Language Pathologist | 400 W South Boulder Rd Ste 2500, Lafayette, CO 80026-2724 | 2020-01-10 |
| 1700436243 | Jocelyn Jaceen Su | Speech-Language Pathologist | 1312 Lambert Cir, Lafayette, CO 80026-3117 | 2019-09-17 |
| Find all providers in LAFAYETTE | ||||
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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.