Organization Active NPI

Leticia K. Tucker, M.D., L.L.C.

  • Family Medicine Physician
  • Hartford, KY
National Provider Identifier
1033301205
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37109 Issued in KY
Legal business name
LETICIA K. TUCKER, M.D., L.L.C.
Practice address
1215 Old Main St
Hartford, KY 42347-1619
Phone
(270) 298-5164
Fax
(270) 298-5285
NPI assigned
Aug 13, 2007
Last updated
Oct 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Leticia Tucker
Title
Dr.
Phone
(270) 298-5164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 37109 KY Primary

Addresses

Primary practice location

1215 Old Main St
Hartford, KY 42347-1619

Mailing address

1215 Old Main St
Hartford, KY 42347-1619
Phone (270) 298-5164

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1033301205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 OLD MAIN ST",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "423471619",
            "telephone_number": "270-298-5164",
            "fax_number": "270-298-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 OLD MAIN ST",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "423471619",
            "telephone_number": "270-298-5164",
            "fax_number": "270-298-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LETICIA K. TUCKER, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "270-298-5164"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "37109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.