KATHLEEN TUCKER


Address: 4525 Cameron Valley Pkwy, Ste 4100, Charlotte, NC 28211-4369
Phone: 7043029462

KATHLEEN TUCKER (NPI# 1992213193) 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) 1992213193
Entity Type Individual
Full Name KATHLEEN TUCKER
Credential RD
Practice Address 4525 Cameron Valley Pkwy
Ste 4100
Charlotte
NC 28211-4369
Mailing Address Po Box 19305
Charlotte
NC 28219-9305
Practice Telephone 7043029462
Enumeration Date 2018-01-22
Last Update Date 2020-09-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered L005193 NC Dietary & Nutritional Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1001 Blythe Blvd, Suite 500, Charlotte, NC 282035866 7043029462
1025 Morehead Medical Dr, Ste 400, Charlotte, NC 282042963 7044461700
1025 Morehead Medical Dr, Ste 500, Charlotte, NC 282042963 7044462320
1025 Morehead Medical Dr, Ste 450, Charlotte, NC 282042963 7044467800
10650 Park Rd, Sute 300, Charlotte, NC 282108538 7043029462
1085 Ne Gateway Ct Ne, Ste 330, Concord, NC 280252406 7044038320
13640 Steelecroft Pkwy, Suite 320, Charlotte, NC 282787565 7043029462
15110 John J Delaney Dr, Ste 100, Charlotte, NC 282773544 7045125100

Other Providers KATHLEEN TUCKER

NPI Name Taxonomy Address Enumeration
1659388759 Kathleen L Tucker Emergency Medicine 9493 S 700 E, Sandy, UT 84070-3459 2006-08-02

Office Location

Street Address 4525 CAMERON VALLEY PKWY
STE 4100
City CHARLOTTE
State NC
Zip Code 28211-4369

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598747149 Charles Termin Obstetrics & Gynecology 4525 Cameron Valley Pkwy, Ste 2500, Charlotte, NC 28211-4369 2005-11-18
1881201036 Katherine Farmer Combs Dietitian, Registered 4525 Cameron Valley Pkwy, Charlotte, NC 28211-4369 2020-09-30
1962032326 Emily Oatis Dietitian, Registered 4525 Cameron Valley Pkwy, Ste 4100, Charlotte, NC 28211-4369 2020-01-24
1881224970 Sara Ohl Internal Medicine 4525 Cameron Valley Pkwy, Charlotte, NC 28211-4369 2020-01-17
1699311563 Carolinas Physicians Network Inc Dermatology 4525 Cameron Valley Pkwy, Ste 2100, Charlotte, NC 28211-4369 2019-11-26
1215573423 Carolinas Physicians Network Inc Internal Medicine 4525 Cameron Valley Pkwy, Ste 2100, Charlotte, NC 28211-4369 2019-11-22
1760952428 Debbie Geraci Dietitian, Registered 4525 Cameron Valley Pkwy, Ste 4100, Charlotte, NC 28211-4369 2018-11-26
1043719958 Adenike Fasan Pharmacist 4525 Cameron Valley Pkwy, Charlotte, NC 28211-4369 2018-02-06
1780125484 Lourdes Ovide Nurse Practitioner 4525 Cameron Valley Pkwy, Ste 2100, Charlotte, NC 28211-4369 2017-03-14
1265972202 Haley Bremkamp Physician Assistant 4525 Cameron Valley Pkwy, Ste 1500, Charlotte, NC 28211-4369 2017-02-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184277832 I and J Wheelchair Transportation Non-emergency Medical Transport (VAN) 1512 Delane Avenue, Charlotte, NC 28211 2019-07-22
1922563923 The Charlotte-mecklenburg Hospital Authority Psychiatry & Neurology 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 2019-02-04
1649798273 Ally Home Care Charlotte LLC In Home Supportive Care 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 2017-09-04
1154866770 Vaibhav Bajaj Dentist 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 2017-01-05
1508254939 Lindsay Marie Smits Speech-Language Pathologist 427 N. Wendover Rd., Charlotte, NC 28211 2015-01-08
1457755480 Kristen Hammer Physical Therapy Assistant 4120 Providence Rd Apt D, Charlotte, NC 28211 2014-10-20
1669805610 Carla Elizabeth Scott Physical Therapist 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 2013-08-14
1760726368 Jill Hensdale Shipp Social Worker 307 Hunter Lane, Charlotte, NC 28211 2012-11-20
1346592722 Danielle Marie Benoit Occupational Therapist 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 2012-10-09
1487910832 John Joseph Marcel Jr. Orthopaedic Surgery 449 North Wendover Rd Ste A, Charlotte, NC 28211 2012-04-10
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811502081 Leslie Thompson Van Horn Dietitian, Registered 7722 Quail Park Dr, Charlotte, NC 28210-6928 2020-09-14
1679188064 Taryn Mattern Dietitian, Registered 4617 Dabney Vigor Dr, Charlotte, NC 28209-2839 2020-09-11
1508478017 Katelin Emproto Dietitian, Registered 13521 Steelecroft Pkwy Unit D, Charlotte, NC 28278-7551 2020-08-18
1699386169 Sequoia A Ridley Dietitian, Registered 7015 Berolina Ln Apt 1536, Charlotte, NC 28226-8710 2020-08-10
1396360954 Madalyn Quinn Dietitian, Registered 309 S Sharon Amity Rd Ste 102, Charlotte, NC 28211-2886 2020-06-10
1578185567 Madison Nancy Dodsworth Dietitian, Registered 11519 Painted Tree Rd, Charlotte, NC 28226-3841 2020-05-12
1356962203 Lucy Price Hooper Dietitian, Registered 507 Queens Rd Apt 405, Charlotte, NC 28207-1592 2020-05-01
1457984478 Tara Lavelle Dietitian, Registered 5434 Dockery Dr, Charlotte, NC 28209-3672 2020-02-18
1265072664 Melanie Romano Dietitian, Registered 7733 Ballantyne Commons Pkwy Ste 201-i, Charlotte, NC 28277-4396 2020-01-14
1669016804 Michael Decaro Dietitian, Registered 309 S Sharon Amity Rd Ste 101, Charlotte, NC 28211-2978 2019-10-31
Find all providers in CHARLOTTE

Competitor

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City CHARLOTTE
Zip Code 28211

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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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