OLIVIA TUCKER


Address: 5121 S Cottonwood St, Murray, UT 84107-5701
Phone: 8015073460

OLIVIA TUCKER (NPI# 1508217571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508217571
Entity Type Individual
Full Name OLIVIA TUCKER
Credential PA
Practice Address 5121 S Cottonwood St
Murray
UT 84107-5701
Mailing Address 129 Interlochen Dr
Peachtree City
GA 30269-3356
Practice Telephone 8015073460
Mailing Telephone 6784383294
Enumeration Date 2016-06-30
Last Update Date 2016-08-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Providers OLIVIA TUCKER

NPI Name Taxonomy Address Enumeration
1003278631 Olivia Kathleen Tucker Social Worker 901 Chippewa St, Flint, MI 48503-1552 2016-03-23

Office Location

Street Address 5121 S COTTONWOOD ST
City MURRAY
State UT
Zip Code 84107-5701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609873595 Sarah Dawn Majercik Surgery 5121 S Cottonwood St, Murray, UT 84107-5701 2005-07-07
1093312183 Cherysh Hubbard Stock Obstetrics & Gynecology 5121 S Cottonwood St, Murray, UT 84107-5701 2020-10-02
1922605062 Sydney Schuessler Occupational Therapist 5121 S Cottonwood St, Murray, UT 84107-5701 2020-10-01
1790398931 Elayne Manuela Pereira Physical Therapist 5121 S Cottonwood St, Murray, UT 84107-5701 2020-08-27
1205449436 Jared Hunt Physical Therapist 5121 S Cottonwood St, Murray, UT 84107-5701 2020-08-27
1386256428 Sarah Emily Boyt Dietitian, Registered 5121 S Cottonwood St, Murray, UT 84107-5701 2020-08-19
1972111417 Megan Neiheiser Occupational Therapist 5121 S Cottonwood St, Murray, UT 84107-5701 2020-07-21
1114535515 Cory Ray Briggle Occupational Therapist 5121 S Cottonwood St, Murray, UT 84107-5701 2020-07-21
1528676509 Melanie Nicole Emmerson Genetic Counselor, MS 5121 S Cottonwood St, Murray, UT 84107-5701 2020-07-16
1205452844 Kendall Snyder Genetic Counselor, MS 5121 S Cottonwood St, Murray, UT 84107-5701 2020-06-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902410517 Brielle Nicole Poulter Student in an Organized Health Care Education/Training Program 345 East 4500 So #260, Murray, UT 84107 2020-09-01
1467016592 Ashlee Brown Social Worker C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 2019-04-24
1568940633 Samantha Duff Occupational Therapist 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 2018-08-01
1881185247 Derek John Sharp Occupational Therapist 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 2018-05-22
1093223091 Erin Nicole Hill Counselor 345 East 4500 South Suite 260, Murray, UT 84107 2018-01-12
1588171219 Nicole Danielle Jensen Counselor 345 East 4500 South, Suite 260, Murray, UT 84107 2018-01-03
1043725799 Greater Endodontics LLC Dentist 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 2017-12-04
1043739667 Karyn K Hodge Audiologist 4500 So. 777. E. Ste #110, Murray, UT 84107 2017-09-14
1912426750 Brandon C Burton Specialist/Technologist, Other Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 2017-09-13
1396261152 Megan Lehane Delano Plastic Surgery 5169 Cottonwood St Ste 420, Murray, UT 84107 2017-08-14
Find all providers in zip 84107

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447725247 Shonti G. Breisch Physician Assistant 6150 S Vineway Cir, Murray, UT 84121-1947 2018-10-08
1043705866 Jeffery Mccleve Physician Assistant 5323 S Woodrow St Ste 100, Murray, UT 84107-5842 2018-06-25
1518402098 Philip John Swink Physician Assistant 650 E 4500 S Ste 100, Murray, UT 84107-4536 2016-12-20
1760849657 Molly Ann Nowill Physician Assistant 5169 S Cottonwood St Ste 501a, Murray, UT 84107-6767 2016-01-22
1114399839 Scott West Physician Assistant 5169 S Cottonwood St Ste 510, Murray, UT 84107-6770 2015-10-21
1679901169 Jennifer Aileen Wight Physician Assistant 5169 S Cottonwood St Ste 440, Murray, UT 84107-6774 2013-10-22
1164728960 Lex Kiyoshi Grimley Physician Assistant 5169 Cottonwood St Ste 520, Murray, UT 84107-6767 2011-01-27
1760618730 Kelly Lynae Richardson Physician Assistant 5121 S Cottonwood St Ste 320, Murray, UT 84107-5701 2009-06-04
1184887051 Meredith Evin Pike Physician Assistant 5450 S Green St, Murray, UT 84123-5632 2008-07-09
1215091525 Matthew M Neddo Physician Assistant 5911 S Fashion Blvd, Murray, UT 84107-7352 2006-12-21
Find all providers in MURRAY

Competitor

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City MURRAY
Zip Code 84107

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Dataset Information

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.

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