RAE LYNNE TUCK (NPI# 1659678399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659678399 |
| Entity Type | Individual |
| Full Name | RAE LYNNE TUCK |
| Credential | ACNS-BC |
| Practice Address |
11600 Kanis Rd 700 Little Rock AR 72211-3727 |
| Practice Telephone | 5013120070 |
| Practice Fax Number | 5013120072 |
| Mailing Telephone | 5013120070 |
| Mailing Fax Number | 5013120072 |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2011-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
S01052 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11600 KANIS RD 700 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211-3727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851494074 | Neurology Clinic of Central Arkansas | Clinic/Center | 11600 Kanis Rd, Ste 700, Little Rock, AR 72211-3727 | 2006-09-06 |
| 1699811539 | Kevin Glen Jones | Dentist | 11600 Kanis Rd, Suite 800, Little Rock, AR 72211-3727 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
| 1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
| 1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
| Find all providers in zip 72211 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760744080 | Elizabeth H Jarvis | Clinical Nurse Specialist | 500 S University Ave Ste 500, Little Rock, AR 72205-5307 | 2012-06-12 |
| 1538302112 | Susan Lee Bona | Clinical Nurse Specialist | 17 Foxhunt Trl, Little Rock, AR 72227-2402 | 2009-04-13 |
| 1114287802 | Jessica A Milam | Clinical Nurse Specialist | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2012-05-29 |
| 1699096156 | Cassandra Ann Caffey | Clinical Nurse Specialist | 4300 W 7th St, Little Rock, AR 72205-5446 | 2010-06-18 |
| 1083858211 | Donna Marie Florez | Clinical Nurse Specialist | 9601 Lile Dr, Suite 890, Little Rock, AR 72205-6321 | 2009-05-01 |
| 1407982267 | Laura Jean Meachum Mencer | Clinical Nurse Specialist | 4300 W 7th St, Little Rock, AR 72205-5446 | 2007-02-26 |
| 1871678185 | Renee Louise Mihalko-corbitt | Clinical Nurse Specialist | 4300 W 7th St, Little Rock, AR 72205-5446 | 2006-10-26 |
| 1487617429 | Martha Kay Bushmiaer | Clinical Nurse Specialist | 600 S Mckinley St, Suite 102, Little Rock, AR 72205-5202 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1275182677 | Central Arkansas Screening and Medical Services | Clinical Nurse Specialist | 801 W. Locust St, Cabot, AR 72023 | 2019-09-09 |
| 1487138608 | Shonta Ellison | Clinical Nurse Specialist | 130 Lake Valley Dr, Maumelle, AR 72113-5939 | 2018-09-24 |
| 1740731660 | Holly Bunn | Clinical Nurse Specialist | 41 Harding Dr, Searcy, AR 72143-5704 | 2016-10-14 |
| 1457808362 | Candice Caldwell | Clinical Nurse Specialist | 1809 Ozarka College Dr, Mountain View, AR 72560-6455 | 2016-09-08 |
| 1548672413 | Angela Pugsley | Clinical Nurse Specialist | 900 Enterprise Dr, Jonesboro, AR 72401-9239 | 2014-05-27 |
| 1104164706 | Betty D Corley | Clinical Nurse Specialist | 4 Redhead Dr, Conway, AR 72032-9756 | 2013-01-17 |
| 1255677027 | Brandi Nicole Sharp | Clinical Nurse Specialist | 421 W Wade Ave, Mountain Home, AR 72653-4622 | 2012-12-21 |
| 1134489842 | Barbara Frances Gray | Clinical Nurse Specialist | 2020 Hytrol St, Jonesboro, AR 72401-6712 | 2012-05-29 |
| 1881913408 | Nelson Andrew Seal | Clinical Nurse Specialist | 4 Charithcher Ln, Bella Vista, AR 72714-3247 | 2010-05-21 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ROCK |
| Zip Code | 72211 |
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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.