AMY LEE TUCKER (NPI# 1376059063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376059063 |
| Entity Type | Individual |
| Full Name | AMY LEE TUCKER |
| Credential | MA |
| Practice Address |
1520 Plaza St Nw Ste 150 Salem OR 97304-4658 |
| Mailing Address |
182 Sw Academy St Ste 333 Dallas OR 97338-6884 |
| Practice Telephone | 5033537417 |
| Mailing Telephone | 5033537417 |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2020-06-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568943868 | Amy Michelle Tucker | Counselor | 224 Nw 10th St, Oklahoma City, OK 73103-3902 | 2018-08-24 |
| 1437510732 | Amy Elaine Tucker | Massage Therapist | 661 W Nickerson St, #3, Seattle, WA 98119-1540 | 2016-03-14 |
| 1487025326 | Amy Tucker | Case Manager/Care Coordinator | 5170 Sundown Trl, Salcha, AK 99714-9756 | 2015-10-19 |
| 1568500072 | Amy C Collins Tucker | Occupational Therapist | 11549 Sutherland Dr, Walton, KY 41094-7412 | 2007-02-05 |
| 1164404406 | Amy Vreugdenhil Tucker | Pharmacist | 10 Pitts School Rd Nw, Concord, NC 28027-0302 | 2005-11-14 |
| 1447800636 | Amy Marie Tucker | Social Worker | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2019-09-19 |
| 1528431434 | Amy Tucker | Physical Therapist | 4607 Lindbergh Dr, Jackson, MS 39209-3855 | 2015-11-02 |
| 1386917888 | Amy Koontz Tucker | Nurse Practitioner | 800 Prudential Dr, Tower B, 11th Floor, Jacksonville, FL 32207-8202 | 2012-02-14 |
| 1578752788 | Amy Tucker | Counselor | 761 3rd St, New Martinsville, WV 26155-1403 | 2007-10-24 |
| 1699832493 | Amy L. Tucker | Internal Medicine | 90 Presidential Plz, Suite 5010, Syracuse, NY 13202-2240 | 2007-01-02 |
| Street Address |
1520 PLAZA ST NW STE 150 |
| City | SALEM |
| State | OR |
| Zip Code | 97304-4658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881942126 | Cynthia Ruth Rettler | Registered Nurse | 1520 Plaza St Nw Ste 150, Salem, OR 97304 | 2012-08-16 |
| 1346746658 | Ashley Jessica Mack | Counselor | 1520 Plaza St Nw Ste 150, Salem, OR 97304-4658 | 2018-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114413010 | Sam Mackenzie Lane | Massage Therapist | 1661 Edgewater St Nw # 120, Salem, Or 97304, Salem, OR 97304 | 2018-07-03 |
| 1144761131 | Rachel E Carson | Physical Therapist | 1025 2nd St. Nw, West Salem, OR 97304 | 2017-03-10 |
| 1962951061 | Lee Ann Nail | Social Worker | 3965 Gibson Rd Nw, Salem, OR 97304 | 2016-09-29 |
| 1619421591 | Logan Walters | Physical Therapist | 1025 2nd St Nw, Salem, OR 97304 | 2016-08-09 |
| 1770941338 | Tysandra Gillis | Massage Therapist | 859 Mule Deer St., Salem, OR 97304 | 2016-02-10 |
| 1144620295 | Molly Rodden | Nurse Practitioner | 1174 Cornucopia St Nw Ste 240, Salem, OR 97304 | 2014-08-26 |
| 1336401017 | Trillium Family Services | Community/Behavioral Health | 1520 Plaza Street Nw, Suite 100, Salem, OR 97304 | 2012-06-08 |
| 1033428198 | Kathleen Ketelson | Nurse Practitioner | 560 Wallace Rd Nw Ste 140, Salem, OR 97304 | 2010-10-06 |
| 1922332535 | Robert Scott Mcadam | Social Worker | 1245 Edgewater St. Nw, Salem, OR 97304 | 2009-09-29 |
| 1992932560 | Michelle Lynn Laseter | Counselor | 290 Moyer Ln. Nw, Salem, OR 97304 | 2009-06-22 |
| Find all providers in zip 97304 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447866892 | Jennifer Thompson Worley | Counselor | 524 Mendham Way, Salem, VA 24153-2141 | 2020-09-21 |
| 1982221966 | Sierra Noelle Williams | Counselor | 3867 Wolverine St Ne Bldg F, Salem, OR 97305-4266 | 2020-06-25 |
| 1326660267 | Leslie Marie Adams | Counselor | 35 Congress St #214, Salem, MA 01970 | 2020-05-14 |
| 1821610304 | Healthy Connections Counseling, LLC | Counselor | 2640 Portland Rd Ne, Salem, OR 97301-0125 | 2020-05-07 |
| 1396366118 | Stephanie Ann Hunt | Counselor | 4 Waters St, Salem, MA 01970-3965 | 2020-05-04 |
| 1497381750 | Hyun Mok Samuel Kang | Counselor | 35 Congress St Ste 351a, Salem, MA 01970-5567 | 2020-03-19 |
| 1780223610 | Josette Thompson | Counselor | 11 Boston St, Salem, MA 01970-2103 | 2019-12-23 |
| 1801435870 | Sarah Katherine Bolte | Counselor | 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 | 2019-12-23 |
| 1871131201 | Silver Falls Trauma Recovery, LLC | Counselor | 495 State St Ste 540, Salem, OR 97301-3297 | 2019-12-16 |
| 1285278713 | Anita-elaine Harris | Counselor | 4890 32nd Ave Se Bldg A, Salem, OR 97317-9350 | 2019-10-28 |
| Find all providers in SALEM | ||||
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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.