KELLY TUCKER (NPI# 1164815866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164815866 |
| Entity Type | Individual |
| Full Name | KELLY TUCKER |
| Practice Address |
1600 S Andrews Ave Third Floor Fort Lauderdale FL 33316-2510 |
| Mailing Address |
1608 Se 3rd Ave Third Floor Pbo Fort Lauderdale FL 33316-2564 |
| Practice Telephone | 9543555276 |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
RN 9309630 | FL | Nursing Service Providers |
| 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 |
| 1104962083 | Kelly A Tucker | Speech-Language Pathologist | 909 W. Alabama Ave., Lafayette, AL 36862 | 2007-01-29 |
| 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 |
| 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 |
1600 S ANDREWS AVE THIRD FLOOR |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316-2510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753334 | Emily Ann Hoffman | Pharmacist | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2020-09-07 |
| 1144838145 | Mary Kathryn Mcgarity | Nurse Anesthetist, Certified Registered | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2020-07-16 |
| 1073136263 | Qian Zhao | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2020-05-21 |
| 1942822416 | Sachin Vasikaran | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2020-05-07 |
| 1447870340 | Anna Maria Jacques | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2020-04-21 |
| 1043830821 | William Summey | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2020-04-21 |
| 1144840174 | Neil Charnowitz | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2020-04-20 |
| 1922627256 | Sam Reiser Caruso | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2020-04-16 |
| 1235758509 | Jenny Gutwein | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2020-04-15 |
| 1790304269 | Anthony John Morris | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2020-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437767779 | Rashell M Blucher | Registered Nurse | 1451 W Cypress Creek Rd Ste 300, Fort Lauderdale, FL 33309-1953 | 2020-07-22 |
| 1073052924 | Samantha Montealegre | Registered Nurse | 1608 Se 3rd Ave, Third Floor Pbo, Fort Lauderdale, FL 33316-2564 | 2017-02-13 |
| 1629317029 | North Broward Hospital District | Registered Nurse | 1600 S Andrews Ave, Third Floor South Tower, Fort Lauderdale, FL 33316-2510 | 2013-02-05 |
| 1770822132 | Judith C Gibel | Registered Nurse | 1600 S Andrews Ave, Third Floor, Fort Lauderdale, FL 33316-2510 | 2013-02-05 |
| 1497093280 | Rushael E Caddy | Registered Nurse | 1600 S Andrews Ave, Third Floor, Fort Lauderdale, FL 33316-2510 | 2013-01-29 |
| 1689912479 | Debra S Lichtman | Registered Nurse | 1600 S Andrews Ave, Third Floor, Fort Lauderdale, FL 33316-2510 | 2013-01-29 |
| 1891033791 | Carole E Glatter | Registered Nurse | 1600 S Andrews Ave, Third Floor, Fort Lauderdale, FL 33316-2510 | 2013-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215547146 | Amy Fritsch | Registered Nurse | 1812 Atlantis Pl, Tallahassee, FL 32303-5256 | 2020-08-05 |
| 1407465016 | Holly Mchugh Lactation Services LLC | Registered Nurse | 1243 Stone Harbour Rd, Winter Springs, FL 32708-4740 | 2020-07-29 |
| 1740898022 | Sophia Brown | Registered Nurse | 3751 Beneraid St, Land O Lakes, FL 34638-7921 | 2020-07-22 |
| 1891310660 | Melanee Beth Leventhal | Registered Nurse | 4101 Pine Tree Drive,unit1507, Miami Beach, FL 33140 | 2020-06-08 |
| 1831710763 | Sabrina Barber | Registered Nurse | 4861 Whistler Dr, Orlando, FL 32812-6810 | 2020-05-01 |
| 1326669466 | Patrice Davis | Registered Nurse | 2238 Colville Chase Dr, Ruskin, FL 33570-6304 | 2020-04-29 |
| 1588283469 | Rachel Nieves | Registered Nurse | 3397 Westfield Dr, Green Cove Springs, FL 32043-5249 | 2020-04-10 |
| 1619503778 | Cecilia Lissette Betancourt | Registered Nurse | 5105 Sw 129th Ave, Miami, FL 33175-5333 | 2020-03-19 |
| 1811527062 | Kathleen Murphy Powers | Registered Nurse | 250 2nd St E Ste 3f, Bradenton, FL 34208-1027 | 2020-01-16 |
| 1629624580 | The Nest of Lakeland | Registered Nurse | 3838 Lakeland Hills Blvd, Lakeland, FL 33805-1980 | 2019-08-15 |
| Find all providers with the same taxonomy | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
Please comment or provide details below to improve the information on KELLY 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.