Organization Active NPI

Tucker Enrichment Academy LLC

  • Multi-Specialty Clinic/Center
  • Owens Cross Roads, AL
National Provider Identifier
1043920275
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.