Connie Montgomery Tucker

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12054 Issued in TX

Practice address

7095 W Wheatland Rd
Dallas, TX 75249-1067

Phone

(972) 708-2431

NPI assigned

Sep 8, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1003585563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 S LEDBETTER DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752361331",
            "telephone_number": "214-668-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7095 W WHEATLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752491067",
            "telephone_number": "972-708-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "CONNIE",
        "middle_name": "MONTGOMERY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "12054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Tucker, MS, CCC-SLP
• Austin Farris Tucker, CRNA
• Brittney Tucker, MA
• Caitlin Tucker, APRN, FNP-C
• Christy Tucker, PHD
• Grant M Tucker
• Jaclyn Tucker, PA-C
• Justin Randal Tucker, MS, CCC/SLP, ATP
• Kimberlee Lynn Tucker, B.A.
• Lynde Tucker, DO

• Speech-Language Pathologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.