Individual provider Active NPI

Ruthann Marie Tucker, APN

  • Gerontology Nurse Practitioner
  • Eureka Springs, AR
National Provider Identifier
1023367752
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
A01348 Issued in AR
Practice address
161 Hillcrest Rd
Eureka Springs, AR 72631-9080
Phone
(479) 253-5815
NPI assigned
Sep 10, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A01348ARMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Regional Medical Center Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X A01348 AR Primary

Addresses

NPPES NPI Registry

Primary practice location

161 Hillcrest Rd
Eureka Springs, AR 72631-9080

Mailing address

161 Hillcrest Rd
Eureka Springs, AR 72631-9080
Phone (479) 253-5815

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 3, 2014.

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1023367752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 HILLCREST RD",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726319080",
            "telephone_number": "479-253-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 HILLCREST RD",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726319080",
            "telephone_number": "479-253-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "RUTHANN",
        "middle_name": "MARIE",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "A01348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.