AUTUMN MONET TUCKER (NPI# 1801144589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801144589 |
| Entity Type | Individual |
| Full Name | AUTUMN MONET TUCKER |
| Practice Address |
2781 W Ramsey St Suite 1 Banning CA 92220-3700 |
| Mailing Address |
5870 Arlington Ave Suite 103 Riverside CA 92504-2037 |
| Practice Telephone | 9518493896 |
| Practice Fax Number | 9518490506 |
| Mailing Telephone | 9516836596 |
| Mailing Fax Number | 9516834239 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225578198 | Autumn Rae Tucker | Nurse Practitioner | 161 S, Main Street, Mission, SD 57555 | 2017-02-27 |
| 1396105292 | Autumn Tucker | Social Worker | 1141 Chapel Hill Cir, Joelton, TN 37080-4112 | 2016-03-04 |
| 1124346366 | Autumn Marie Tucker | Licensed Practical Nurse | 7711 State Route 40, Hartford, NY 12838-1801 | 2010-05-12 |
| Street Address |
2781 W RAMSEY ST SUITE 1 |
| City | BANNING |
| State | CA |
| Zip Code | 92220-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619164944 | Robin Depree | Counselor | 2781 W Ramsey St, 1, Banning, CA 92220-3700 | 2007-10-01 |
| 1669865937 | Recovery Innovations, Inc. | Social Worker | 2781 W Ramsey St, Banning, CA 92220-3700 | 2015-03-11 |
| 1568891190 | Donna Irene Pare | Counselor | 2781 W Ramsey St, Banning, CA 92220-3700 | 2013-11-04 |
| 1710329370 | Sarah D Bergeson | Marriage & Family Therapist | 2781 W Ramsey St, 1, Banning, CA 92220-3700 | 2013-07-24 |
| 1295075182 | Amanda Labagnara | Marriage & Family Therapist | 2781 W Ramsey St, Banning, CA 92220-3700 | 2013-02-28 |
| 1114289139 | Zahid Masih | Counselor | 2781 W Ramsey St, Suite 1, Banning, CA 92220-3700 | 2012-06-14 |
| 1386906303 | Maria Patel | Counselor | 2781 W Ramsey St, Suite 1, Banning, CA 92220-3700 | 2012-06-14 |
| 1295028983 | Carol L. Groves | Counselor | 2781 W Ramsey St, Suite 1, Banning, CA 92220-3700 | 2011-05-27 |
| 1225334147 | Janet Hunt-flourney | Counselor | 2781 W Ramsey St, Suite 1, Banning, CA 92220-3700 | 2011-02-10 |
| 1720316417 | Patricia Tetley | Counselor | 2781 W Ramsey St, 1, Banning, CA 92220-3700 | 2009-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056523 | Golden View Guest Home, Inc. | Assisted Living Facility | 5466 West Wilson, Banning, CA 92220 | 2019-07-31 |
| 1780246157 | Fjs Hearing Professionals | Hearing Instrument Specialist | 3559 W Ramsey Ave Suit C-2, Banning, CA 92220 | 2019-07-05 |
| 1790237832 | Jennifer De Geus | Counselor | 1627 Hargrave St., Banning, CA 92220 | 2016-10-25 |
| 1427447507 | Dalonna Blackwell | Counselor | 2781 W. Ramsey St., Banning, CA 92220 | 2015-01-13 |
| 1639575962 | Eunjung J. Jung Choi | Dentist | 300 S Highland Springs Ave Ste 2l, Banning, CA 92220 | 2014-11-13 |
| 1861810244 | Genevra Diana Glenn | Counselor | 2781 W Ramsey, Suite 1, Banning, CA 92220 | 2014-04-02 |
| 1841617420 | Kristen Lew | Internal Medicine | 6109 W.ramsey Street, Banning, CA 92220 | 2014-03-21 |
| 1588917884 | Jamison William Murphy | Military Health Care Provider | Uss Howard Ddg 83, Fpo, AP 92220 | 2012-10-24 |
| 1972871390 | John Hong | Pharmacist | 60 N Highlandsprings, Beaumont, CA 92220 | 2011-12-13 |
| 1679855936 | Lydia Session | Marriage & Family Therapist | 1627 S. Hargrave, Banning, CA 92220 | 2011-09-13 |
| Find all providers in zip 92220 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962068940 | Jennifer Edith Romero | Counselor | 1330 W Ramsey St Ste B, Banning, CA 92220-4477 | 2019-05-15 |
| 1790237832 | Jennifer De Geus | Counselor | 1627 Hargrave St., Banning, CA 92220 | 2016-10-25 |
| 1326360892 | Ian Mccloud Hathaway | Counselor | 3705 W Ramsey St, Banning, CA 92220-3511 | 2010-02-24 |
| 1457581712 | Roberta A Verdugo | Counselor | 11555 1/2 Potrero Rd., Banning, CA 92220 | 2009-07-21 |
| 1871115105 | Ehizele Angel Usigbe | Counselor | 1627 S Hargrave St, Banning, CA 92220-6169 | 2020-05-08 |
| 1215573662 | Bridget Delaney | Counselor | 1627 S Hargrave St, Banning, CA 92220-6169 | 2019-11-20 |
| 1477012540 | Stephanie Cristerna-casillas | Counselor | 1627 S Hargrave St, Banning, CA 92220-6169 | 2019-03-18 |
| 1043799430 | Megan Holmberg | Counselor | 1330 W Ramsey St, Banning, CA 92220-4477 | 2018-08-07 |
| 1376055954 | Mayella Castillo | Counselor | 1330 W Ramsey St, Banning, CA 92220-4477 | 2017-11-03 |
| 1346778370 | Tania Guadalupe Garcia Avalos | Counselor | 1330 W Ramsey St, Banning, CA 92220-4477 | 2017-06-04 |
| Find all providers in BANNING | ||||
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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.