DERRICK TUCKERSON


Address: 3801 3rd Street #5j93, Suite 200, San Fransisco, CA 94124
Phone: 4154014448

DERRICK TUCKERSON (NPI# 1164929915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164929915
Entity Type Individual
Full Name DERRICK TUCKERSON
Credential R.N
Practice Address 3801 3rd Street #5j93
Suite 200
San Fransisco
CA 94124
Practice Telephone 4154014448
Mailing Telephone 4154014448
Enumeration Date 2018-04-09
Last Update Date 2018-04-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163W00000X Registered Nurse RN731687 CA Nursing Service Providers

Office Location

Street Address 3801 3RD STREET #5J93
SUITE 200
City SAN FRANSISCO
State CA
Zip Code 94124

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1558797936 Mickey Diner Stein Student in an Organized Health Care Education/Training Program 3801 Third Street, Suite 400, San Francisco, CA 94124 2013-09-18
1164797916 Ronnie Muniz Counselor 5015 Third Street, San Francisco, CA 94124 2012-03-13
1265717144 Marq'uis Amari-hakeem Reid Counselor 1625 Carroll Avenue, San Francisco, CA 94124 2011-10-11
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Taxonomy Information

Taxonomy Code 163W00000X
Grouping Nursing Service Providers
Classification Registered Nurse

Taxonomy Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

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NPI Name Taxonomy Address Enumeration
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Competitor

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City SAN FRANSISCO
Zip Code 94124

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Dataset Information

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.

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