MRS. PAULA JUNE TUCKER (NPI# 1902406291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902406291 |
| Entity Type | Individual |
| Full Name | MRS. PAULA JUNE TUCKER |
| Practice Address |
4396 Highway 80 Ruston LA 71270-8948 |
| Practice Telephone | 3182514659 |
| Mailing Telephone | 3182514659 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
4194 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548630478 | Paula Jeannette Tucker | Contractor | 4800 W Commonwealth Pl, Chandler, AZ 85226-4861 | 2015-10-05 |
| 1114008596 | Paula Y Tucker | Nurse's Aide | 1529 Dixon Rd., Elgin, SC 29045 | 2006-10-18 |
| 1891080594 | Paula W. Tucker | Nurse Practitioner | 55 Whitcher St Ne Ste 460, Marietta, GA 30060-1171 | 2011-06-10 |
| 1164577284 | Paula Jean Tucker | Social Worker | 2155 Main Street, Springfield, MA 01104 | 2007-01-25 |
| 1598821084 | Paula Tucker | Social Worker | 4601 Dale Road, Modesto, CA 95356 | 2006-12-29 |
| Street Address |
4396 HIGHWAY 80 |
| City | RUSTON |
| State | LA |
| Zip Code | 71270-8948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609818285 | Alpine Guest Care, LLC | Skilled Nursing Facility | 4396 Highway 80, Ruston, LA 71270-8948 | 2006-06-11 |
| 1043780851 | Lincoln Nova Vital Recovery Center,llc | Community/Behavioral Health | 4396 Highway 80, Ruston, LA 71270-8948 | 2018-12-05 |
| 1831667104 | Lacy Culver Vincent | Physician Assistant | 4396 Highway 80, Ruston, LA 71270-8948 | 2018-11-05 |
| 1285066886 | Terry Lee Jordan | Social Worker | 4396 Highway 80, Ruston, LA 71270-8948 | 2013-08-06 |
| 1609116334 | Anna Amelia Mcmahon | Counselor | 4396 Highway 80, Ruston, LA 71270-8948 | 2013-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821315 | Olivia Mason | Marriage & Family Therapist | 413 North Homer Street, Ruston, LA 71270 | 2020-11-04 |
| 1972146132 | Razz Addiction and Recovery, LLC | Family Medicine | 570 Heard Rd, Ruston, LA 71270 | 2019-10-21 |
| 1518435999 | Tenia Holloway | Case Manager/Care Coordinator | 612 Henderson St., F12, Ruston, LA 71270 | 2018-11-05 |
| 1245708718 | A Plus Medical of Ruston LLC | Family Medicine | 612 S Farmerville Street, Ruston, LA 71270 | 2018-11-02 |
| 1255808085 | Amanda M Clark | Specialist/Technologist | 2301 Timberline Ct Apt F105, Ruston, LA 71270 | 2018-10-30 |
| 1912473752 | Lincoln Nova Vital Recovery | Counselor | 4396 Hwy, 80, 617 South Trention, Ruston, LA 71270 | 2018-10-19 |
| 1861975237 | Wymeka Andrea Breaux | Case Manager/Care Coordinator | 705 Martin Luther King Dr., Ruston, LA 71270 | 2018-09-12 |
| 1790292001 | Louquyhanta Foster | Case Manager/Care Coordinator | 593 Belton Rd, Ruston, LA 71270 | 2018-01-08 |
| 1609391010 | Chemia Herron | Counselor | 775 S Bonner, Ruston, LA 71270 | 2017-08-07 |
| 1477083517 | Arnesha Beard | Counselor | 775 South Bonner, Ruston, LA 71270 | 2017-06-12 |
| Find all providers in zip 71270 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578881421 | Pamela Laster Cardella | Counselor | 1742 W Kentucky Ave, Ruston, LA 71270-9581 | 2010-05-16 |
| 1578619557 | Department of Health and Hospitals | Counselor | 602 East Georgia Avenue, Ruston, LA 71270 | 2007-01-25 |
| 1578653184 | Andrea Danelle Vermillion | Counselor | 206 E Reynolds Dr, Suite H, Ruston, LA 71270-2809 | 2006-10-13 |
| 1467540484 | Elise Hester Reed | Counselor | 206 E Reynolds Dr Ste H, Ruston, LA 71270-2873 | 2006-10-11 |
| 1962468819 | Department of Health and Hospitals | Counselor | 602 E Georgia Ave, Ruston, LA 71270-3931 | 2006-04-20 |
| 1710486451 | Seth Dawson | Counselor | 617 S Trenton St, Ruston, LA 71270-5040 | 2018-02-08 |
| 1902276280 | Haylea Ewing | Counselor | 617 S Trenton St, Ruston, LA 71270-5040 | 2015-09-30 |
| 1316352180 | India Witherington | Counselor | 617 S Trenton St, Ruston, LA 71270-5040 | 2014-06-30 |
| 1417362278 | Chad Frederick | Counselor | 617 S Trenton St, Ruston, LA 71270-5040 | 2014-06-30 |
| 1043591910 | Sharon L. Chandler | Counselor | 602 E Georgia Ave, Ruston, LA 71270-3931 | 2011-09-06 |
| Find all providers in RUSTON | ||||
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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.