DR. STEPHANIE TUCKER (NPI# 1417137977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417137977 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE TUCKER |
| Credential | M.D. |
| Practice Address |
1325 Wyoming Blvd Ne Pmg Kaseman Behavioral Medicine Albuquerque NM 87112-5046 |
| Mailing Address |
Po Box 20970 Cheyenne WY 82003-7020 |
| Practice Telephone | 5052915300 |
| Practice Fax Number | 5052912956 |
| Mailing Telephone | 3076337370 |
| Mailing Fax Number | 3076337202 |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
D0064887 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 18528830 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275867095 | Stephanie M Tucker | Case Manager/Care Coordinator | 7731 E Northern Lights Blvd Ste 210, Anchorage, AK 99504-3572 | 2009-09-25 |
| 1124273099 | Stephanie Dawn Tucker | Counselor | 2206 Kaen Rd, Oregon City, OR 97045-4048 | 2008-11-19 |
| 1215560057 | Stephanie Tucker | Nurse Practitioner | 1150 E College St, Pulaski, TN 38478-4519 | 2020-02-20 |
| 1881165066 | Stephanie Tucker | Registered Nurse | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2018-12-16 |
| 1104336866 | Stephanie Brooke Tucker | Social Worker | 1 Starling Ave, Martinsville, VA 24112-2921 | 2017-10-09 |
| 1366827289 | Stephanie Rose Tucker | Physical Therapy Assistant | 885 S Parsons Ave, Brandon, FL 33511-6063 | 2015-07-21 |
| 1902293079 | Stephanie Tucker | Specialist/Technologist, Other | 3900 Essex Ln, 500, Houston, TX 77027-5133 | 2015-04-16 |
| 1104228154 | Stephanie Tucker | Anesthesiologist Assistant | 4700 Waters Ave, Memorial Health Anesthetists, Savannah, GA 31404-6220 | 2014-09-22 |
| 1043632995 | Stephanie Tucker | Speech-Language Pathologist | 912 S Gay St, Knoxville, TN 37902-1814 | 2014-01-13 |
| 1881985927 | Stephanie Marie Tucker | Counselor | 220 Ruskin Drive, Colorado Springs, CO 80910 | 2011-04-24 |
| Street Address |
1325 WYOMING BLVD NE PMG KASEMAN BEHAVIORAL MEDICINE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87112-5046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700823572 | Leslie P Kurtz | Pediatrics | 1325 Wyoming Blvd Ne, Pmg Kaseman Behavioral Medicine, Albuquerque, NM 87112-5046 | 2006-06-01 |
| 1023484755 | Marissa Lynne Borrello | Psychologist | 1325 Wyoming Blvd Ne, Albuquerque, NM 87112-5046 | 2015-08-17 |
| 1205219623 | Jennifer Fawn Bernard | Psychologist | 1325 Wyoming Blvd Ne, Pmg Kaseman Behavioral Medicine, Albuquerque, NM 87112-5046 | 2015-07-02 |
| 1821424227 | Marsha Delaine Sapp | Nurse Practitioner | 1325 Wyoming Blvd Ne, Albuquerque, NM 87112-5046 | 2013-09-18 |
| 1063796605 | Cheri Marie Cerghizan | Nurse Practitioner | 1325 Wyoming Blvd Ne, Albuquerque, NM 87112-5046 | 2011-09-30 |
| 1073758850 | Monica Zmuda | Counselor | 1325 Wyoming Blvd Ne, Albuquerque, NM 87112-5046 | 2008-12-09 |
| 1003084195 | Christopher Manetta | Psychiatry & Neurology | 1325 Wyoming Blvd Ne, Pmg Kaseman Behavioral Medicine, Albuquerque, NM 87112-5046 | 2008-02-12 |
| 1760671978 | Judith Wherritt Brooks | Counselor | 1325 Wyoming Blvd Ne, Albuquerque, NM 87112-5046 | 2007-10-24 |
| 1174726582 | Patricia A Pade | Internal Medicine | 1325 Wyoming Blvd Ne, Albuquerque, NM 87112-5046 | 2007-06-06 |
| 1689883456 | Daniel Duhigg | Psychiatry & Neurology | 1325 Wyoming Blvd Ne, Albuquerque, NM 87112-5046 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999411 | Lynn Eileen Riley | Counselor | 10205 Stovall Pl Ne, Albuquerque, NM 87112 | 2019-08-30 |
| 1548818222 | Cindy D Montoya | Technician | 11405 Snow Heights Blvd Ne, Albuquerque, NM 87112 | 2019-08-27 |
| 1194387449 | Karen Sue Stockham | Counselor | 9024 Aspen Ave Ne, Albuquerque, NM 87112 | 2019-07-07 |
| 1316416837 | New Beginning Counseling Services Inc | Counselor | 2617 Juan Tabo Blvd Ne Unit A/d, Albuquerque, NM 87112 | 2018-11-14 |
| 1306365929 | Calyx Institute LLC | Social Worker | 10701 Lomas Blvd Ne, Ste. 101, Albuquerque, NM 87112 | 2017-09-14 |
| 1811411135 | Annette Romero | Case Manager/Care Coordinator | 9741 Candelaria, Albuquerque, NM 87112 | 2017-07-28 |
| 1851814784 | Ally Renee Funkhouser Dye | Pediatrics | 2130 Eubank Blvd Ne, Albuquerque, NM 87112 | 2017-07-23 |
| 1508303140 | Makena Bailey Nash | Behavior Technician | 12801 Indian School Ne Apt 508, Albuquerque, NM 87112 | 2017-01-20 |
| 1477978906 | Albert R Toya | Massage Therapist | 2601 Wyoming Blvd N.e. Room 115-c, Albuquerque, NM 87112 | 2014-02-20 |
| 1184918104 | Jennifer E Chavez | Counselor | 1505 Marron Circle Ne, Albuquerque, NM 87112 | 2011-06-07 |
| Find all providers in zip 87112 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982219499 | Chrysalis Healthcare LLC | Psychiatry & Neurology | 2632 Mesilla St Ne Ste 6, Albuquerque, NM 87110-3614 | 2020-09-11 |
| 1922646595 | Psychogenesis LLC | Psychiatry & Neurology | 3900 Eubank Blvd Ne Ste 18, Albuquerque, NM 87111-3427 | 2019-12-14 |
| 1134515737 | Amanda S Valone | Psychiatry & Neurology | 1501 San Pedro Dr Se Rm 145, Albuquerque, NM 87108-5180 | 2015-04-09 |
| 1932514288 | Christine M Clark | Psychiatry & Neurology | 1 University of New Mexico # 95030, Albuquerque, NM 87131-0001 | 2014-06-25 |
| 1790105369 | Monique Elise Ethne Simpson | Psychiatry & Neurology | 320 Gold Ave Sw Ste 1001, Albuquerque, NM 87102-3228 | 2014-04-22 |
| 1386083368 | Jeannette Elizabeth Ferguson | Psychiatry & Neurology | Child Psychiatric Center 1001 Yale Blvd Ne, Albuquerque, NM 87131 | 2013-06-23 |
| 1245573476 | Dyani Loo | Psychiatry & Neurology | Msc 09 5030 University of New Mexico, Albuquerque, NM 87131 | 2013-04-06 |
| 1346528866 | Christie Anne Cline | Psychiatry & Neurology | 8905 Osuna Rd Ne, Albuquerque, NM 87111-2139 | 2011-08-01 |
| 1083904023 | Nina E Higgins | Psychiatry & Neurology | Msc 09 5030 1 University of New Mexico, Albuquerque, NM 87131 | 2011-04-11 |
| 1003111873 | Melissa A Merhege | Psychiatry & Neurology | 500 Walter St Ne Ste 213, Albuquerque, NM 87102 | 2011-01-25 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87112 |
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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.