KOURTNEY L TUCKER (NPI# 1215404991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215404991 |
| Entity Type | Individual |
| Full Name | KOURTNEY L TUCKER |
| Practice Address |
1987 County Road 4152 Simms TX 75574-3525 |
| Practice Telephone | 9032760635 |
| Mailing Telephone | 9032760635 |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
698937 | TX | Nursing Service Providers |
| Street Address |
1987 COUNTY ROAD 4152 |
| City | SIMMS |
| State | TX |
| Zip Code | 75574-3525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396896460 | Simms Independent School District | Local Education Agency (LEA) | 47 James Bowie Lane, Simms, TX 75574 | 2007-01-16 |
| 1205449956 | Katrina Treadwell | Licensed Vocational Nurse | 1287 County Road 4120, Simms, TX 75574-4620 | 2020-08-24 |
| 1093179459 | Infinity Home Health Services, LLC | Technician | 38 County Road 4216, Simms, TX 75574-4631 | 2016-04-11 |
| 1760534374 | Angela Renee Pate | Chiropractor | 5457 County Road 4116, Simms, TX 75574-5478 | 2007-01-17 |
| 1407361306 | Kendall Bartlett | Physical Therapy Assistant | 3571 County Road 4217, Simms, TX 75574-6323 | 2017-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449956 | Katrina Treadwell | Licensed Vocational Nurse | 1287 County Road 4120, Simms, TX 75574-4620 | 2020-08-24 |
| 1548741838 | Holly Jo Hamilton | Massage Therapist | 12854 Montana Hwy 200, Simms, MT 59477 | 2018-08-24 |
| 1407361306 | Kendall Bartlett | Physical Therapy Assistant | 3571 County Road 4217, Simms, TX 75574-6323 | 2017-12-13 |
| 1093179459 | Infinity Home Health Services, LLC | Technician | 38 County Road 4216, Simms, TX 75574-4631 | 2016-04-11 |
| 1568637304 | Sun River Valley School | Local Education Agency (LEA) | 123 Walker St, Simms, MT 59477-0380 | 2008-04-23 |
| 1760534374 | Angela Renee Pate | Chiropractor | 5457 County Road 4116, Simms, TX 75574-5478 | 2007-01-17 |
| 1396896460 | Simms Independent School District | Local Education Agency (LEA) | 47 James Bowie Lane, Simms, TX 75574 | 2007-01-16 |
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
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| 1003423559 | Jennifer Annette Davis | Registered Nurse | 330 Harvest Mdw, Temple, TX 76502-5060 | 2020-09-29 |
| 1023622750 | Megan Paige Lauterbach | Registered Nurse | 4444 Corona Dr Ste 106, Corpus Christi, TX 78411-4323 | 2020-09-01 |
| 1487265542 | Beyond Home Health Care LLC | Registered Nurse | 3531 Pecos Way, Grand Prairie, TX 75052 | 2020-08-12 |
| 1679184048 | Vivian Temilola Soyingbe | Registered Nurse | 821 Lake Sierra Way, Little Elm, TX 75068-1237 | 2020-08-11 |
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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.