MARY BETH TUCKER (NPI# 1770917403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770917403 |
| Entity Type | Individual |
| Full Name | MARY BETH TUCKER |
| Credential | APRN-CNS |
| Practice Address |
1364 Clifton Rd Ne Atlanta GA 30322-1059 |
| Mailing Address |
2932 Bridle Creek Dr Sw Conyers GA 30094-5696 |
| Practice Telephone | 4047127921 |
| Mailing Telephone | 6782831783 |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SC0200X |
Clinical Nurse Specialist Specialization: Critical Care Medicine |
RN 085819 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
1364 CLIFTON RD NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30322-1059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669476248 | Maureen E. Haas | Pharmacist | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2005-06-10 |
| 1730789900 | Gina Renae Martin | Student in an Organized Health Care Education/Training Program | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-10-28 |
| 1053919878 | Yolanda Martin | Nurse Practitioner | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-10-14 |
| 1508463175 | Federico Andres Napoli | Student in an Organized Health Care Education/Training Program | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-10-06 |
| 1871109330 | Jazmynn Lee Orellana-noia | Nurse Practitioner | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-09-21 |
| 1376156562 | Monica Fajobi | Nurse Practitioner | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-08-26 |
| 1174135586 | Robert Achram | Student in an Organized Health Care Education/Training Program | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-08-18 |
| 1336751932 | Michel Attieh | Pathology | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-08-17 |
| 1346851417 | Tatiana Tvrdik | Pathology | 1364 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-08-12 |
| 1710596333 | Juna Victoria Konomi Johnson | Anesthesiologist Assistant | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445830 | Justin Gill | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Clinic B - Suite B6100, Atlanta, GA 30322 | 2019-06-12 |
| 1891354510 | Gwendolyn Gisiner Gunn | Genetic Counselor, MS | Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 | 2019-06-06 |
| 1144710567 | Lisa Cathy-ann Akosa | Registered Nurse | 1365 Cifton Road Ne, Atlanta, GA 30322 | 2018-05-10 |
| 1083118004 | Jessica Milian Keilson | Student in an Organized Health Care Education/Training Program | 1364 Clifton Road Ne, Suite H100, Emory University Hospital Office of Surgical Education, Atlanta, GA 30322 | 2018-03-23 |
| 1568982684 | Jennifer Bilko | Dietitian, Registered | 1365 Clifton Rd., Bldg A, 1st Floor, Suite 1450, Atlanta, GA 30322 | 2017-06-20 |
| 1134652258 | Kassahun Bilcha | Student in an Organized Health Care Education/Training Program | 1525 Clifton Rd Ne Ste 100, Atlanta, GA 30322 | 2017-04-05 |
| 1356872246 | Tova Rogers | Dermatology | 1525 Clifton Road Suite 105, Atlanta, GA 30322 | 2017-03-23 |
| 1194271445 | Dina Amin | Dentist | 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 | 2016-08-28 |
| 1427404904 | Rita Kaur Kuwahara | Student in an Organized Health Care Education/Training Program | 100 Woodruff Circle, Suite 327, Atlanta, GA 30322 | 2016-05-13 |
| 1891176251 | Octav Cristea | Transplant Surgery | 1365 Clifton Road Northeast, Building B, 6th Floor, Atlanta, GA 30322 | 2015-06-11 |
| Find all providers in zip 30322 | ||||
| Taxonomy Code | 364SC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952953960 | Anne Elizabeth Hysong | Clinical Nurse Specialist | 3620 Howell Ferry Rd, Duluth, GA 30096-3178 | 2019-07-10 |
| 1902179328 | Leslie A Swadener-culpepper | Clinical Nurse Specialist | 777 Hemlock St, Macon, GA 31201-2102 | 2012-02-15 |
Please comment or provide details below to improve the information on MARY BETH TUCKER.
| 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.