MARY W TUCKER (NPI# 1386775641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386775641 |
| Entity Type | Individual |
| Full Name | MARY W TUCKER |
| Credential | APRN, BC |
| Practice Address |
116 Chantilly Lane Maryville TN 37803 |
| Mailing Address |
Po Box 5629 Maryville TN 37802-5629 |
| Practice Telephone | 8652731616 |
| Practice Fax Number | 8652731645 |
| Mailing Telephone | 8652731752 |
| Mailing Fax Number | 8652731755 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2008-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APN0000010443 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3341063 | 05 | |
| TN | LICENSE | APN0000010443 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114537180 | Mary Tucker | Technician | 361 Riffes Br, Rhodell, WV 25915-9102 | 2020-08-05 |
| 1851812846 | Mary Beth Tucker | Speech-Language Pathologist | 141 Dalton St, Shreveport, LA 71106-7401 | 2017-06-29 |
| 1790163814 | Mary Elizabeth Tucker | Physician Assistant | 1500 S 48th St., Suite 800, Lincoln, NE 68506-1200 | 2015-05-08 |
| 1275971236 | Mary Elizabeth Tucker | Social Worker | 3265 Wilmington Rd, Montgomery, AL 36105-1824 | 2013-06-11 |
| 1093054710 | Mary L Tucker | Counselor | 1601 Banning Beach Rd, Tavares, FL 32778-2024 | 2013-02-01 |
| 1881954493 | Mary Jean Tucker | Registered Nurse | 50 S Brookside Ave, Freeport, NY 11520-3144 | 2012-05-17 |
| 1356618771 | Mary H Tucker | Physical Therapist | 4911 Stelton Rd Ste 3, South Plainfield, NJ 07080-1113 | 2011-11-30 |
| 1942534532 | Mary Sue Tucker | Licensed Practical Nurse | 1186 Truxell Drive, Mansfield, OH 44906 | 2009-09-29 |
| 1487813028 | Mary Catherine Tucker | Counselor | 1511 College of Education, Indiana State University, Terre Haute, IN 47809-0001 | 2008-06-09 |
| 1821206889 | Mary Margaret Tucker | Mechanotherapist | 3001 Mallard Dr, Deltona, FL 32738-8939 | 2007-05-21 |
| Street Address |
116 CHANTILLY LANE |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669964672 | Mary Kathleen Gravatt | Physical Therapy Assistant | 1750 Linda Ln, Maryville, TN 37803 | 2018-06-05 |
| 1235350828 | Thomas Robert Schlitt | Physical Therapist | 833 Lawrence Avenue, Maryville, TN 37803 | 2007-05-01 |
| 1437278769 | Selena Lynette Reed | Dietitian, Registered | 1759 Old Niles Ferry Rd, Maryville, TN 37803 | 2007-03-28 |
| 1518098045 | Wal-mart Stores East, L.p. | Technician/Technologist | 2410 Us Hwy 411 South, Maryville, TN 37803 | 2007-03-08 |
| 1265529069 | Robert F Fekete | Pharmacist | 1524 Woodward Court, Maryville, TN 37803 | 2006-10-05 |
| 1336234848 | Edwin Terry Webb | Pharmacist | 131 Montgomery Lane, Maryville, TN 37803 | 2006-10-03 |
| 1891793014 | Rebecca Lynn Bunch | Counselor | 627 Smithview Drive, Maryville, TN 37803 | 2005-07-12 |
| 1770788895 | Janaan Manney Branch | Registered Nurse | 627 Smithview Drive, Maryville, TN 37803 | 2007-06-19 |
| 1396860185 | Caroline Rech | Registered Nurse | 627 Smithview Drive, Maryville, TN 37803 | 2007-03-20 |
| 1306979463 | Harry Kocotos Jr. | Case Manager/Care Coordinator | 627 Smithview Drive, Maryville, TN 37803 | 2007-03-14 |
| Find all providers in zip 37803 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437674447 | Erin Rhea Talbott | Nurse Practitioner | 270 Bmh Physicians Office Bldg, Maryville, TN 37804-5904 | 2017-08-10 |
| 1104921501 | Vivian L Colont | Nurse Practitioner | 414 Greenbelt Drive, Maryville Pediatric Group, Maryville, TN 37804 | 2006-09-13 |
| 1437189990 | Katherine J Martin | Nurse Practitioner | 616 Smithview Dr, Maryville, TN 37803-6100 | 2006-07-03 |
| 1558871608 | Paul Chase Holt | Nurse Practitioner | 414 Greenbelt Dr, Maryville, TN 37804-5702 | 2017-10-03 |
| 1184829368 | East Tennessee Children's Hospital Primary Care Center, Inc. | Nurse Practitioner | 414 Greenbelt Dr, Maryville, TN 37804-5702 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416330 | Laura Jean Schmid | Nurse Practitioner | 2200 Childrens Way Ste 3103, Nashville, TN 37232-0034 | 2020-10-27 |
| 1801495338 | Heidi Bevans | Nurse Practitioner | 1440 Cedar Ln, Tullahoma, TN 37388-2485 | 2020-10-26 |
| 1629683453 | Monique Kyles | Nurse Practitioner | 148 Marrakesh Cir, Memphis, TN 38103-5830 | 2020-09-09 |
| 1164034013 | Donte Leonard | Nurse Practitioner | 952 Dolly Parton Pkwy, Sevierville, TN 37862-3707 | 2020-08-21 |
| 1114545050 | Regina Jill Brown | Nurse Practitioner | 1441 Guthrie Dr Nw, Cleveland, TN 37311-3642 | 2020-07-07 |
| 1295350361 | Amber Rose King | Nurse Practitioner | 439 N Graham St, Memphis, TN 38122-3831 | 2020-06-14 |
| 1346869302 | Ashley O'brien | Nurse Practitioner | 1044 Oak Drive, White Bluff, TN 37187-3718 | 2020-04-10 |
| 1487298634 | Madison Hatfield | Nurse Practitioner | 2200 Childrens Way Fl 8, Nashville, TN 37232-0005 | 2019-10-31 |
| 1184267270 | Mary Elizabeth Coletti | Nurse Practitioner | 1029 W Main St # 3301, Lebanon, TN 37087-3351 | 2019-10-22 |
| 1508408956 | Stephanie Nidiffer | Nurse Practitioner | 3328 Jenkins Rd Ste 200, Chattanooga, TN 37421-1298 | 2019-10-16 |
| Find all providers with the same taxonomy | ||||
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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.