Michelle a. Tucker, LLC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

000358 Issued in CT

Legal business name

MICHELLE A. TUCKER, LLC

Practice address

5 Washington Dr
Gales Ferry, CT 06335-1936

Phone

(860) 941-7689

Fax

(860) 381-5078

NPI assigned

Mar 24, 2009

Last updated

Mar 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michelle A Tucker, ND, L.AC.

Title

Owner

Phone

(860) 941-7689

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1073755930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WASHINGTON DR",
            "city": "GALES FERRY",
            "state": "CT",
            "postal_code": "063351936",
            "telephone_number": "860-941-7689",
            "fax_number": "860-381-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WASHINGTON DR",
            "city": "GALES FERRY",
            "state": "CT",
            "postal_code": "063351936",
            "telephone_number": "860-941-7689",
            "fax_number": "860-381-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE A. TUCKER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-941-7689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CT",
            "license": "000375",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CT",
            "license": "000358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy P Login, MSW
• Mark T Lopez, O.D.P.C.
• Jennifer R. Lovin, M.D.
• Simon Matthew Makuchowski, IDC
• Mark T Lopez OD PC
• Marion Krista Mikkelson, RPH
• Amy T Mooradian, DPT
• Patricia Ward Murdoch, APRN, DNP
• New Moon Therapy LLC
• Madisen Brooke Newman, DDS

• Naturopath in Gales Ferry, CT
• Providers in Gales Ferry, CT by specialty
• Naturopath in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.