LISA TUCKER


Address: 2510 E Dupont Rd, Suite 238, Fort Wayne, IN 46825-1600
Phone: 8552007337

LISA TUCKER (NPI# 1992166490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992166490
Entity Type Individual
Full Name LISA TUCKER
Credential RN, CPNP-PC
Practice Address 2510 E Dupont Rd
Suite 238
Fort Wayne
IN 46825-1600
Practice Telephone 8552007337
Mailing Telephone 8552007337
Enumeration Date 2016-03-10
Last Update Date 2016-03-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
28144452A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 1275546913 05

Other Providers LISA TUCKER

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1679093462 Lisa Moore Tucker Registered Nurse 5 Richland Medical Park Dr Ste 305, Columbia, SC 29203-6863 2017-06-22
1245609205 Lisa V Tucker Social Worker 2505 Main St Ste 231, Stratford, CT 06615-5839 2015-09-21
1952600884 Lisa Tucker Home Health 15003 Turtle Lake Ct, Lutz, FL 33559-7734 2011-03-17
1295344554 Lisa Tucker Case Manager/Care Coordinator 589 Midway Rd, Alum Creek, WV 25003-9577 2020-07-23
1063076214 Lisa Tucker Counselor 791 N Pepper Ave, Colton, CA 92324-1800 2019-04-23
1336556620 Lisa Tucker Dietitian, Registered 2441 S Highway 27, Somerset, KY 42501-2935 2014-07-18
1467522490 Lisa A Tucker Nurse Practitioner 900 Pacific Ave Ste 500, Everett, WA 98201-4189 2006-11-08

Office Location

Street Address 2510 E DUPONT RD
SUITE 238
City FORT WAYNE
State IN
Zip Code 46825-1600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306838321 Althea J. Jackson Obstetrics & Gynecology 2510 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1600 2005-08-16
1821459413 Kids.healthcare PC Pediatrics 2510 E Dupont Rd, Suite 238, Fort Wayne, IN 46825-1600 2016-03-10
1447634449 Associated Surgeons and Physicians, LLC Pediatrics 2510 E Dupont Rd, Suite 200, Fort Wayne, IN 46825-1601 2015-07-20
1124459276 Fw Interventional Pain Management LLC Anesthesiology 2510 E Dupont Rd, Suite 115, Fort Wayne, IN 46825-1600 2013-11-27
1396080156 T-med Services, Inc Psychologist 2510 E Dupont Rd, Suite 201, Fort Wayne, IN 46825-1601 2012-12-05
1326222480 Daniel E. Krach, M.d. Eyewear Supplier (Equipment, not the service) 2510 E Dupont Rd, Suite 128, Fort Wayne, IN 46825-1600 2007-12-26
1497958946 Northeast Foot & Ankle Clinic Inc Podiatrist 2510 E Dupont Rd, Ste. 234, Fort Wayne, IN 46825-1600 2007-06-11
1013078351 Osita Victor Ezeakudo Pediatrics 2510 E Dupont Rd, Suite 200, Fort Wayne, IN 46825-1601 2006-12-12
1700809175 Arnold Brill Specialist 2510 E Dupont Rd, Fort Wayne, IN 46825-1675 2006-07-25
1558314039 Three Rivers Surgical Associates, LLC Surgery 2510 E Dupont Rd, Suite 210, Fort Wayne, IN 46825-1600 2006-05-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336772078 Bradley Murphy Occupational Therapist 2626 St Joe Center Ed, Fort Wayne, IN 46825 2020-02-21
1144851015 Sabryna Roman Developmental Therapist 2626 St Joe Center Rd, Fort Wayne, IN 46825 2020-01-30
1205474103 Ashleigh Miller Developmental Therapist 2626 St. Joe Center Rd, Fort Wayne, IN 46825 2019-12-11
1962055152 Carehalo Ohio LLC General Practice 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 2019-07-17
1306318175 Logan Alan Williams Nurse Anesthetist, Certified Registered 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 2018-12-18
1326582925 Mark F Stoner LLC Dentist 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 2016-12-15
1336695782 Nadine Rene' Handy Nurse Practitioner 3978 New Vision Dr., Fort Wayne, IN 46825 2016-08-26
1558815712 Nathan Paul Miller Physical Therapist 10006 Auburn Park Dr, Fort Wayne, IN 46825 2016-08-05
1013366905 Brianna Abbott Physician Assistant 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 2016-06-10
1003276643 Seiss, LLC Psychologist 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 2016-02-24
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588947543 Denise A Gilham Nurse Practitioner 7950 W Jefferson Blvd Fl 2, Fort Wayne, IN 46804-4140 2011-09-26
1578658191 Nancy A Pyle Nurse Practitioner 1717 South Calhoun, Fort Wayne, IN 46802 2006-10-03
1265047138 Josiah Wesley Reish Nurse Practitioner 7613 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804-4182 2020-09-09
1912522418 Danica Mitten Nurse Practitioner 3919 W Jefferson Blvd, Fort Wayne, IN 46804-6811 2020-06-10
1083266852 Mikala Schmidt Nurse Practitioner 2810 Dupont Commerce Ct, Fort Wayne, IN 46825-2393 2019-07-11
1154872653 Amanda M Leisure Nurse Practitioner 11141 Parkview Plaza Dr Ste 210, Fort Wayne, IN 46845-1714 2016-10-19
1609320795 Clare Hall Nurse Practitioner 10228 Dupont Circle Dr E, Fort Wayne, IN 46825-1611 2016-08-07
1710396940 Bernita Flye Nurse Practitioner 3919 W Jefferson Blvd, Fort Wayne, IN 46804-6811 2014-08-13
1508299751 Angela Scheid Nurse Practitioner 3301 Lake Ave, Fort Wayne, IN 46805-5529 2013-08-12
1972790608 Diana L Case Nurse Practitioner 2514 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1623 2007-09-26
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Competitor

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City FORT WAYNE
Zip Code 46825

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Dataset Information

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.

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