Active NPI
Tucker Enrichment Academy LLC
- Multi-Specialty Clinic/Center
- Owens Cross Roads, AL
National Provider Identifier
1043920275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- TUCKER ENRICHMENT ACADEMY LLC
- Practice address
- 326 Sutton Rd SE Ste H
Owens Cross Roads, AL 35763-9371 - Phone
- (205) 886-1901
- NPI assigned
- Nov 29, 2022
- Last updated
- Nov 29, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vanessa Tucker
- Title
- MBR
- Phone
- (205) 886-1901
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | NU | ||
| Multi-Specialty Clinic/Center | 261QM1300X | NU | Primary | |
| Occupational Medicine Clinic/Center | 261QX0100X | NU | ||
| Physical Therapist | 225100000X | NU | ||
| Occupational Therapist | 225X00000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | NU | ||
| Behavior Analyst | 103K00000X | NU |
Addresses
Primary practice location
326 Sutton Rd SE Ste H
Owens Cross Roads, AL 35763-9371
Mailing address
6585 Highway 431 S Ste 245
Hampton Cove, AL 35763-9230
Phone (205) 886-1901
National Provider Directory
National Provider DirectoryLocations
6585 Highway 431 S
Ste 245
Hampton Cove, AL 35763
326 Sutton Rd SE
Ste H
Owens Cross Roads, AL 35763
Phone (205) 886-1901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669680000000",
"number": "1043920275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6585 HIGHWAY 431 S STE 245",
"city": "HAMPTON COVE",
"state": "AL",
"postal_code": "357639230",
"telephone_number": "205-886-1901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 SUTTON RD SE STE H",
"city": "OWENS CROSS ROADS",
"state": "AL",
"postal_code": "357639371",
"telephone_number": "205-886-1901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TUCKER ENRICHMENT ACADEMY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-29",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A",
"authorized_official_last_name": "TUCKER",
"authorized_official_first_name": "VANESSA",
"authorized_official_title_or_position": "MBR",
"authorized_official_telephone_number": "205-886-1901"
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owens Cross Roads, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.