DAVID TUCKER (NPI# 1770964975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770964975 |
| Entity Type | Individual |
| Full Name | DAVID TUCKER |
| Credential | CIT |
| Practice Address |
400 Lake Front Dr Russellville AR 72802-2206 |
| Mailing Address |
Po Box 9178 Russellville AR 72811-9178 |
| Practice Telephone | 4799687086 |
| Practice Fax Number | 4799687225 |
| Mailing Telephone | 4799687086 |
| Mailing Fax Number | 4799687225 |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-06-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114491024 | David Tucker | In Home Supportive Care | 3214 Capehart Dr, Saint Louis, MO 63121-5321 | 2019-01-14 |
| 1982025565 | David Tucker | Orthopaedic Surgery | 50 Dawn Lane, Airmont, NY 10901 | 2013-12-26 |
| 1174890743 | David B Tucker | Social Worker | 10751 Garfield Ave, Culver City, CA 90230-4112 | 2011-11-25 |
| 1275707176 | David Lawrence Tucker Jr. | Physical Therapist | 4921 Airline Dr, Metairie, LA 70001-5664 | 2008-04-22 |
| 1780854380 | David Neil Tucker | Ophthalmology | 18 Hermit Ln, Westport, CT 06880-1113 | 2008-03-10 |
| 1629084538 | David L Tucker | Chiropractor | 111 14th St Ne, Ste E, Rochester, MN 55906-7058 | 2006-07-31 |
| 1134168677 | David James Tucker | Chiropractor | 121 S Court St, Ottumwa, IA 52501-2519 | 2006-06-06 |
| 1811986953 | David R Tucker | Chiropractor | 402 Middletown Blvd Ste 210, Langhorne, PA 19047-1818 | 2005-10-20 |
| 1467080630 | David Andrew Tucker | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-04-01 |
| 1508325416 | David Tucker | Marriage & Family Therapist | 108 W Victoria St, Gardena, CA 90248-3523 | 2019-03-19 |
| Street Address |
400 LAKE FRONT DR |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72802-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063551265 | Arvac, Inc. | Substance Abuse Rehabilitation Facility | 400 Lake Front Dr, Russellville, AR 72802-2206 | 2007-02-05 |
| 1386268555 | River Valley Medical Wellness, LLC | Family Medicine | 400 Lake Front Dr, Russellville, AR 72802-2206 | 2020-06-03 |
| 1336524081 | Victor Roble | Rehabilitation Counselor | 400 Lake Front Dr, Russellville, AR 72802-2206 | 2015-07-23 |
| 1649651852 | Grace Rideout | Counselor | 400 Lake Front Dr, Russellville, AR 72802-2206 | 2015-06-12 |
| 1750762969 | Tracy Humphrey | Counselor | 400 Lake Front Dr, Russellville, AR 72802-2206 | 2015-06-12 |
| 1023405933 | Mary Conner | Counselor | 400 Lake Front Dr, Russellville, AR 72802-2206 | 2015-04-17 |
| 1689835225 | Kristin K Martin | Emergency Medicine | 400 Lake Front Dr, Russellville, AR 72802-2206 | 2008-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316587850 | Friends of Freedom House Inc. | Counselor | 404 Lake Front Drive, Russellville, AR 72802 | 2020-01-13 |
| 1922527027 | Sarah Huey | Counselor | 1505 S. Oswego Ave., Russellville, AR 72802 | 2017-09-11 |
| 1437555315 | Laura Easter | Case Manager/Care Coordinator | 1505 S, Oswego Ave., Russellville, AR 72802 | 2014-11-05 |
| 1982005252 | Yariela Borras | Case Manager/Care Coordinator | 1415 S. Oswego Avenue, Russellville, AR 72802 | 2014-09-05 |
| 1477953818 | Kelly Sutton | Case Manager/Care Coordinator | 1505 S. Oswego Avenue, Russellville, AR 72802 | 2014-09-03 |
| 1891080909 | Tera Dacus | Counselor | 1505 S. Oswego Ave, Russellville, AR 72802 | 2011-06-16 |
| 1992034763 | Central Arkansas Surgical Center, LLC | Clinic/Center | 151 East Aspen Ln, Russellville, AR 72802 | 2009-12-08 |
| 1134302854 | Twin Rivers Respiratory Care, Inc | Durable Medical Equipment & Medical Supplies | 1400 S Knoxville Ave, Russellville, AR 72802 | 2007-12-17 |
| 1003945007 | Phyllis Wells | Case Manager/Care Coordinator | 1400 East 16th St, Russellville, AR 72802 | 2007-03-05 |
| 1609902295 | Debi C Day Damron Burns | Case Manager/Care Coordinator | 1402 East 16th St, Russellville, AR 72802 | 2007-02-26 |
| Find all providers in zip 72802 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316587850 | Friends of Freedom House Inc. | Counselor | 404 Lake Front Drive, Russellville, AR 72802 | 2020-01-13 |
| 1558727024 | Restored Life Services of Arkansas | Counselor | 127 E 3rd St, Russellville, AR 72801-5106 | 2016-01-13 |
| 1831238468 | Edith Paulette Young | Counselor | 237 E 6th St, Russellville, KY 42276-1917 | 2007-02-06 |
| 1235208612 | Gail L Ungemach | Counselor | 1400 E 16th St, Russellville, AR 72801 | 2006-11-07 |
| 1891881108 | Alvin Jeffery Phillips | Counselor | 1110 W B St, Suite G, Russellville, AR 72801-3506 | 2006-10-05 |
| 1730168873 | Gretchen Suzanne Douthit | Counselor | 103 N Hastings Ave, Russellville, AR 72801-2425 | 2006-01-16 |
| 1649651852 | Grace Rideout | Counselor | 400 Lake Front Dr, Russellville, AR 72802-2206 | 2015-06-12 |
| 1750762969 | Tracy Humphrey | Counselor | 400 Lake Front Dr, Russellville, AR 72802-2206 | 2015-06-12 |
| 1023104338 | Phillip M Higdon | Counselor | 110 Skyline Drive, Russellville, AR 72801 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870389 | Zabrina Zennile Weaver | Counselor | 407 W 35th Ave, Pine Bluff, AR 71603-6083 | 2020-08-06 |
| 1366051088 | Katreasa L Cwright | Counselor | 224 South 5th St, Madison, AR 72359 | 2020-07-28 |
| 1679100549 | Collin Roe | Counselor | 1200 W Walnut St Ste 1115, Rogers, AR 72756-3521 | 2020-03-23 |
| 1871158469 | Jerry Rushing | Counselor | 6301 Father Tribou St, Little Rock, AR 72205-3003 | 2019-05-08 |
| 1386113421 | Stephanie Jade Moore | Counselor | 1104 Vine Street, Batesville, AR 72501-8638 | 2018-11-19 |
| 1144705872 | The Family Institute of Arkansas | Counselor | 425 W Broadway St Ste H, North Little Rock, AR 72114-5576 | 2018-09-27 |
| 1023500634 | Carlotta A Powell | Counselor | 7000 N Stateline Ave, Texarkana, AR 71854 | 2018-05-31 |
| 1831680909 | Greg Dupriest | Counselor | 1239 Alma North St, Alma, AR 72921-4602 | 2018-05-24 |
| 1609366350 | Eric Dominic Parks | Counselor | 7000 N State Line Ave, Texarkana, AR 71854-8100 | 2018-05-17 |
| 1164882106 | Katelyn Coney | Counselor | 15 Trina Loop, Greenbrier, AR 72058-9062 | 2016-03-03 |
| Find all providers with the same taxonomy | ||||
| City | RUSSELLVILLE |
| Zip Code | 72802 |
Please comment or provide details below to improve the information on DAVID 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.