Active NPI
Cynthia E Tucker, RN
- Diabetes Educator Registered Nurse
- Rockville, MD
National Provider Identifier
1013590975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- R130668
- Practice address
- 50 W Edmonston Dr Ste 403
Rockville, MD 20852-1200 - Phone
- (240) 449-3094
- Fax
- (240) 489-4415
- NPI assigned
- Apr 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | R130668 | MD | Primary |
Addresses
Primary practice location
50 W Edmonston Dr Ste 403
Rockville, MD 20852-1200
Mailing address
8980 Executive Club Dr
Delmar, MD 21875-2366
Phone (443) 614-9072
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20020585 | Other | BOARD OF DIABETES CARE AND EDUCATION | |
| R130668 | Other | MD | STATE OF MARYLAND |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Bethesda |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R130668 | MD | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1013590975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8980 EXECUTIVE CLUB DR",
"city": "DELMAR",
"state": "MD",
"postal_code": "218752366",
"telephone_number": "443-614-9072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 W EDMONSTON DR STE 403",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208521200",
"telephone_number": "240-449-3094",
"fax_number": "240-489-4415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "CYNTHIA",
"middle_name": "E",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-29",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "MD",
"license": "R130668",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF DIABETES CARE AND EDUCATION",
"identifier": "20020585",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MARYLAND",
"identifier": "R130668",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Bethesda",
"affiliation": "N",
"endpointDescription": "Office Ally Practice manager",
"address_1": "50 W Edmonston Dr Ste 403",
"city": "Rockville",
"state": "MD",
"country_code": "US",
"postal_code": "208521200",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.