PATTY LYNN TUCKER (NPI# 1821058140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821058140 |
| Entity Type | Individual |
| Full Name | PATTY LYNN TUCKER |
| Credential | PA |
| Practice Address |
585 W College Ave Santa Rosa CA 95401-5000 |
| Practice Telephone | 7075259616 |
| Mailing Telephone | 7075270485 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2010-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA12688 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
585 W COLLEGE AVE |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740215912 | Carolyn Crane Hruschka | Nurse Practitioner | 585 W College Ave, Santa Rosa, CA 95401-5000 | 2006-07-12 |
| 1093748444 | Eugene Belogorsky M.d. Inc | Internal Medicine | 585 W College Ave, Suite A, Santa Rosa, CA 95401-5000 | 2006-07-09 |
| 1184657538 | Eugene Belogorsky | Internal Medicine | 585 W College Ave, Suite A, Santa Rosa, CA 95401-5000 | 2006-07-09 |
| 1538192984 | Gregory T. Ackroyd | Psychiatry & Neurology | 585 W College Ave, Santa Rosa, CA 95401-5000 | 2006-07-09 |
| 1003852633 | Setrak Terzian | Chiropractor | 585 W College Ave, Suite B, Santa Rosa, CA 95401-5000 | 2006-06-21 |
| 1124085378 | Ralph Edward Dilisio | Internal Medicine | 585 W College Ave, Santa Rosa, CA 95401-5000 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467096149 | Brittany Griffin | Physician Assistant | 208 Concourse Blvd # 1, Santa Rosa, CA 95403-8210 | 2019-11-05 |
| 1922301522 | Alexandra Maya Mcspadden | Physician Assistant | 3333 Mendocino Avenue Suite 130, Kaiser Permanente Cosmetic Services, Santa Rosa, CA 95403 | 2010-12-21 |
| 1760089635 | Christopher Andrew Rhule | Physician Assistant | 1551 Pacific Ave, Santa Rosa, CA 95404-3568 | 2020-10-05 |
| 1538662937 | Paul Viscogliosi | Physician Assistant | 3883 Airway Dr Ste 165, Santa Rosa, CA 95403-1675 | 2018-03-12 |
| 1619404431 | Atoosa Molanazadeh | Physician Assistant | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2017-05-11 |
| 1467889451 | Angela Merrisa Wetmore | Physician Assistant | 585 W College Ave Ste A, Santa Rosa, CA 95401-5060 | 2013-10-04 |
| 1255696910 | Jody Lynn Pennycook | Physician Assistant | 4740 Hoen Ave, Santa Rosa, CA 95405-7824 | 2012-07-09 |
| 1104101401 | Luis E Garcia | Physician Assistant | 208 Concourse Blvd, Santa Rosa, CA 95403-8210 | 2011-10-18 |
| 1316176712 | Lesley M Field | Physician Assistant | 121 Sotoyome St, Santa Rosa, CA 95405-4823 | 2009-07-07 |
| 1417172495 | Jill R. Ringer | Physician Assistant | 34 Mark West Springs Rd Fl 2, Santa Rosa, CA 95403 | 2007-04-16 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
Please comment or provide details below to improve the information on PATTY LYNN 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.