Pattie Rae Tuck, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

RN00103617 Issued in WA

Practice address

325 E 6TH St
Port Angeles, WA 98362-6203

Phone

(360) 457-8355

NPI assigned

Apr 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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

• First Step Family Support Center

  • Case Management Agency
  • Port Angeles, WA
  • NPI 1043382260
  NPD (past)

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1073255634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 VIEW VISTA PARK",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983629356",
            "telephone_number": "360-565-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E 6TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626203",
            "telephone_number": "360-457-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCK",
        "first_name": "PATTIE",
        "middle_name": "RAE",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "WA",
            "license": "RN00103617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ruth Trefonas, LMHC
• Allana Triece
• Trillium Treatment Center Inc.
• Amanda Truman, LMHC
• Todd Tucholke, DPT
• Haley Tucker
• Jeffery Scott Tucker
• Lloyd M Tucker, DMD, MSD
• Kirsti F. Turella, DMD
• Deborah J Turner, PAC

• Lactation Consultant (Registered Nurse) in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Lactation Consultant (Registered Nurse) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.