Nicole M Tucker, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1052331 Issued in CO

Practice address

320 Surrey RDG
Eaton, CO 80615-8817

Phone

(970) 215-4889

Fax

(303) 270-2174

NPI assigned

Sep 26, 2007

Last updated

Apr 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1073700878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SURREY RDG",
            "city": "EATON",
            "state": "CO",
            "postal_code": "806158817",
            "telephone_number": "970-215-4889",
            "fax_number": "303-270-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SURREY RDG",
            "city": "EATON",
            "state": "CO",
            "postal_code": "806158817",
            "telephone_number": "970-215-4889",
            "fax_number": "303-270-2174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802062761",
            "country_code": "US",
            "telephone_number": "303-388-4461",
            "fax_number": "303-270-2174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "1052331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD CERTIFICAT",
            "identifier": "1052331",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryn Caprice Sturm, O.D.
• Danielle Dawn Suarez, DDS
• Rosemary Thompson, PT
• Shirley Torrez
• Aimee Thuy Thu Tran, PTA
• Mariaisela Vega
• Weld County School Re 2
• Jill Wyatt, LPC
• Kaleb Zier

• Occupational Therapist in Eaton, CO
• Providers in Eaton, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.