Katie H Tuck, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1072378 Issued in AL

Practice address

2470 Rocky Ridge Rd
Vestavia, AL 35243-2833

Phone

(205) 978-3336

Fax

(205) 503-4915

NPI assigned

Aug 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Alabama School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Dermatology and Skin Care Center of Birmingham, P.C.Group PAC ID 2769481399, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.5 of 100Reported as group

Quality

85

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• The Dermatology and Skin Care Center of Birmingham, P.C.

  • Dermatology Physician
  • Birmingham, AL
  • NPI 1609985514
  Medicare reassignment Care Compare group NPD
• Stacy J Haynes MD PC

  • Dermatology Physician
  • Birmingham, AL
  • NPI 1437289865
  NPD

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1043402555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 ROCKY RIDGE RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432833",
            "telephone_number": "205-978-3336",
            "fax_number": "205-503-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 ROCKY RIDGE RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432833",
            "telephone_number": "205-978-3336",
            "fax_number": "205-503-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCK",
        "first_name": "KATIE",
        "middle_name": "H",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1072378",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-072378",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051542593",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891017461",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA",
            "identifier": "Z08424",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexi Tranel
• Tranquil Pathway Mental Wellness, LLC
• Tri-Vista Rehab, Inc.
• Trinity Counseling Inc.
• Kelly Trumbull
• Wayne Nolan Tuck, LHIS
• Perron Lee Tucker, DMD
• Kathryn B Turman
• Alex Micah Turner, PHARM.D.
• Anna Turner, CRNP

• Nurse Practitioner in Vestavia, AL
• Providers in Vestavia, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.