MRS. AUTUMN RAE TUCKER (NPI# 1225578198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225578198 |
| Entity Type | Individual |
| Full Name | MRS. AUTUMN RAE TUCKER |
| Credential | CNP |
| Practice Address |
161 S, Main Street Mission SD 57555 |
| Mailing Address |
161 S Main St. Mission SD 57555 |
| Practice Telephone | 6058562295 |
| Mailing Telephone | 6058562295 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | CP001196 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396105292 | Autumn Tucker | Social Worker | 1141 Chapel Hill Cir, Joelton, TN 37080-4112 | 2016-03-04 |
| 1124346366 | Autumn Marie Tucker | Licensed Practical Nurse | 7711 State Route 40, Hartford, NY 12838-1801 | 2010-05-12 |
| 1801144589 | Autumn Monet Tucker | Counselor | 2781 W Ramsey St, Suite 1, Banning, CA 92220-3700 | 2012-08-28 |
| Street Address |
161 S, MAIN STREET |
| City | MISSION |
| State | SD |
| Zip Code | 57555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706892 | Kristine Ellece Smith | Social Worker | 101 Antelope Lake Circle, Mission, SD 57555 | 2020-10-05 |
| 1891352134 | Sinte Gleska University | Counselor | Antelope Lake Drive, Mission, SD 57555 | 2019-05-22 |
| 1790259182 | Charlotte Rose Emery | Counselor | 101 Antelpe Lake, Mission, SD 57555 | 2019-01-18 |
| 1285110486 | Ryan Ross Rowe | Nurse Practitioner | 161 S. Main, Mission, SD 57555 | 2018-07-11 |
| 1497204937 | Molly Driel Dent | Psychologist | 102 E. Denver Drive, Mission, SD 57555 | 2016-09-26 |
| 1285923011 | Ed Parsells | Counselor | 250 S. Harrison St., Mission, SD 57555 | 2011-04-01 |
| 1023340767 | Burke Community Pharmacy Inc. | Pharmacy | 161 S. Main Street, Mission, SD 57555 | 2010-02-05 |
| 1366687428 | Todd County School District 66-1 | Local Education Agency (LEA) | 110 E. Denver Drive, Mission, SD 57555 | 2008-12-03 |
| 1790972719 | Angela Blane Chambers | Physician Assistant | 161 S Main St., Mission, SD 57555 | 2007-10-03 |
| 1598833360 | Todd County School District | Local Education Agency (LEA) | 815 Avenue D, Mission, SD 57555 | 2006-12-01 |
| Find all providers in zip 57555 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063043297 | Bemis Mwaura | Nurse Practitioner | 5030 Glenwood St Apt 1, Mission, KS 66202-4626 | 2020-01-27 |
| 1194193540 | Arvic T. Roa | Nurse Practitioner | 4501 Santa Sofia Court, Mission, TX 78572 | 2015-09-02 |
| 1619363504 | Christina Noel Johnson | Nurse Practitioner | 401 N Bryan Rd, Mission, TX 78572 | 2015-04-08 |
| 1083256879 | Sarita Gonzalez | Nurse Practitioner | 210 S Bryan Rd, Mission, TX 78572-6204 | 2019-10-13 |
| 1710469648 | Jacklynn Monique Ochoa | Nurse Practitioner | 2023 E Griffin Pkwy, Mission, TX 78572-3222 | 2018-09-06 |
| 1649756248 | Nallely Lozano | Nurse Practitioner | 1920 E Griffin Pkwy, Mission, TX 78572-3106 | 2018-07-17 |
| 1902322258 | Tania Morales | Nurse Practitioner | 611 N Bryan Rd, Mission, TX 78572 | 2017-08-18 |
| 1790200368 | Erica Marie Robles | Nurse Practitioner | 1920 E Griffin Pkwy, Mission, TX 78572-3106 | 2017-08-04 |
| 1821407271 | Sebastian Oviedo | Nurse Practitioner | 305 E Expressway 83, Mission, TX 78572-5560 | 2014-08-11 |
| 1346671401 | Addievi T Amper | Nurse Practitioner | 900 S Bryan Rd, Mission, TX 78572-6613 | 2013-11-27 |
| Find all providers in MISSION | ||||
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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.