TERRY TUCKER (NPI# 1710454277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710454277 |
| Entity Type | Individual |
| Full Name | TERRY TUCKER |
| Credential | CDP |
| Practice Address |
1700 Airport Way S Seattle WA 98134-1618 |
| Practice Telephone | 2062233644 |
| Mailing Telephone | 2062233644 |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2018-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP60473517 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295966943 | Terry Tucker | Technician | 1329 Camelot Dr, Fayetteville, NC 28304-4903 | 2009-07-29 |
| 1033100060 | Terry L Tucker | Optometrist | 88 Pine Island Rd, Suite 3, North Fort Myers, FL 33903-3745 | 2005-10-31 |
| 1770092058 | Terry Lee Tucker | Nurse's Aide | 538 W 5th Ave, Knoxville, TN 37917-7109 | 2017-09-29 |
| 1104018027 | Terry Tucker | Counselor | 1441 S Saint Francis Dr, Santa Fe, NM 87505-4037 | 2007-08-14 |
| Street Address |
1700 AIRPORT WAY S |
| City | SEATTLE |
| State | WA |
| Zip Code | 98134-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558416685 | Evergreen Treatment Services Unit 4 | Clinic/Center | 1700 Airport Way S, Seattle, WA 98134-1618 | 2007-01-25 |
| 1609477959 | Casandra Brown | Counselor | 1700 Airport Way S, Seattle, WA 98134-1618 | 2020-11-03 |
| 1891394532 | Samantha Lindsay Floyd | Counselor | 1700 Airport Way S, Seattle, WA 98134-1618 | 2020-10-23 |
| 1720687882 | Kasilyn Bagio Jensen | Technician | 1700 Airport Way S, Seattle, WA 98134-1618 | 2020-10-20 |
| 1609475789 | Febben Fekadu | Counselor | 1700 Airport Way S, Seattle, WA 98134-1618 | 2020-10-20 |
| 1629676119 | Robert J. Wyatt | Registered Nurse | 1700 Airport Way S, Seattle, WA 98134-1618 | 2020-10-15 |
| 1902404007 | Anisa Abukar | Counselor | 1700 Airport Way S, Seattle, WA 98134-1618 | 2020-10-12 |
| 1730787904 | Makayla Asclipiadis | Technician | 1700 Airport Way S, Seattle, WA 98134-1618 | 2020-10-11 |
| 1447857446 | Jaclynn Foster-wittig | Counselor | 1700 Airport Way S, Seattle, WA 98134-1618 | 2020-10-03 |
| 1760099527 | Brian Bailey | Counselor | 1700 Airport Way S, Seattle, WA 98134-1618 | 2020-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700491925 | Mizu Massage Seattle LLC | Massage Therapist | 3250 Airportway South, 740, Seattle, WA 98134 | 2020-09-14 |
| 1861907008 | Norman Fuller | Counselor | 1700 Airport Way S., Seattle, WA 98134 | 2017-12-11 |
| 1447794391 | Ruth Aaronson | Specialist | 4636 E. Marginal Way, Seattle, WA 98134 | 2016-12-12 |
| 1811399223 | Alexandra Zigman | Physical Therapist | 2245 3rd Avenue South, Seattle, WA 98134 | 2014-09-17 |
| 1427467257 | Soar Academies | Local Education Agency (LEA) | 210 S Hudson, Seattle, WA 98134 | 2014-08-06 |
| 1730514449 | Vanessa G Schmidt | Counselor | 2133 3rd Avenue, Ets Reach, Seattle, WA 98134 | 2013-09-12 |
| 1932544152 | Anne Vickars Heidbrink | Registered Nurse | 3rd Ave South, Seattle School District, Seattle, WA 98134 | 2013-05-01 |
| 1003156324 | West Coast Behavioral Consultants Inc Dba Blueprints | Behavioral Analyst | 910 S. Horton St., Unit 703, Seattle, WA 98134 | 2013-02-22 |
| 1306194998 | George Butchko | Pharmacist | 4401 Fourth Ave S, Seattle, WA 98134 | 2012-08-29 |
| 1134438849 | Tzu S Chiang | Obstetrics & Gynecology | 4735 E. Marginal Way South, Seattle, WA 98134 | 2010-09-29 |
| Find all providers in zip 98134 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675147 | Tory B Gildred | Counselor | 4328 Baker Ave Nw, Seattle, WA 98107-4349 | 2020-09-28 |
| 1104437185 | The Daniel Clinic, Pllc | Counselor | 1406 Western Ave Apt 509, Seattle, WA 98101-2062 | 2020-08-12 |
| 1205468899 | Connie Heath | Counselor | 13044 14th Ave S, Seattle, WA 98108 | 2020-02-11 |
| 1255972063 | Ryan Wathne | Counselor | 325 9th Ave # Ms 359760, Seattle, WA 98104-2420 | 2019-10-02 |
| 1912558370 | Marco Antonio Medina Sotelo | Counselor | 113 23rd Avenue South, Seattle, WA 98144 | 2019-09-26 |
| 1730743717 | Adrienne Renee Burrington | Counselor | 1811 Eastlake Ave E, Seattle, WA 98102-4171 | 2019-04-25 |
| 1578034971 | Charles Quinn | Counselor | 2815 Eastlake Ave E Ste 100, Seattle, WA 98102-3086 | 2018-12-10 |
| 1689144628 | Sarah Katherine Laing | Counselor | 1811 Eastlake Ave, Seattle, WA 98101-1403 | 2018-12-03 |
| 1629546932 | Lawrence Millard Watson | Counselor | 325 9th Ave # 359896, Seattle, WA 98104-2420 | 2018-11-05 |
| 1063980381 | Dennis Gordon Grove | Counselor | 701 N 36th St, Ste 300, Seattle, WA 98103 | 2018-11-05 |
| Find all providers in SEATTLE | ||||
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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.