Individual provider Active NPI

Nancy H. Tucker, M.A./C.C.C., SLP

  • Speech-Language Pathologist
  • Valdese, NC
National Provider Identifier
1093982142
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2879 Issued in NC
Practice address
210 Forest Dr NE
Valdese, NC 28690-9703
Phone
(828) 874-8861
Fax
(828) 874-3056
NPI assigned
May 8, 2008
Last updated
May 8, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2879 NC Primary

Addresses

Primary practice location

210 Forest Dr NE
Valdese, NC 28690-9703

Mailing address

210 Forest Dr NE
Valdese, NC 28690-9703
Phone (828) 874-8861

Other identifiers 1

IdentifierTypeStateIssuer
7411729MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2879NCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Speech Therapy Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1093982142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 FOREST DR NE",
            "city": "VALDESE",
            "state": "NC",
            "postal_code": "286909703",
            "telephone_number": "828-874-8861",
            "fax_number": "828-874-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 FOREST DR NE",
            "city": "VALDESE",
            "state": "NC",
            "postal_code": "286909703",
            "telephone_number": "828-874-8861",
            "fax_number": "828-874-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "NANCY",
        "middle_name": "H.",
        "name_prefix": "Ms.",
        "credential": "M.A./C.C.C., SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "2879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7411729",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdese, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.