Active NPI
Diana Lynn Tucker, D.C.
- Chiropractor
- Mount Juliet, TN
National Provider Identifier
1043218779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC0000001071
- Practice address
- 854 N Mount Juliet Rd
Mount Juliet, TN 37122-3391 - Phone
- (615) 754-8875
- Fax
- (615) 758-3437
- NPI assigned
- Jul 7, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC0000001071 | TN | Primary |
Addresses
Primary practice location
854 N Mount Juliet Rd
Mount Juliet, TN 37122-3391
Mailing address
854 N Mount Juliet Rd
Mount Juliet, TN 37122-3391
Phone (615) 754-8875
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4093916 | Other | TN | BLUECROSS BLUE SHEILD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC0000001071 | TN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1043218779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "854 N MOUNT JULIET RD",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "371223391",
"telephone_number": "615-754-8875",
"fax_number": "615-758-3437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "854 N MOUNT JULIET RD",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "371223391",
"telephone_number": "615-754-8875",
"fax_number": "615-758-3437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "DIANA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "DC0000001071",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUE SHEILD",
"identifier": "4093916",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Juliet, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.