Kenneth Wayne Tucker, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN106423 Issued in LA

Practice address

405 E Georgia Ave
Ruston, LA 71270-3926

Phone

(318) 251-4120

Fax

(318) 251-4181

NPI assigned

Jun 18, 2012

Sex

Male

Sole proprietor

No

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.

• Louisiana Department of Health - Office of Public Health

  • Public Health or Welfare Agency
  • Baton Rouge, LA
  • NPI 1396316212
  NPD (past)

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1114280997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 MARION HWY",
            "city": "FARMERVILLE",
            "state": "LA",
            "postal_code": "712419215",
            "telephone_number": "318-368-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E GEORGIA AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703926",
            "telephone_number": "318-251-4120",
            "fax_number": "318-251-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "KENNETH",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "LA",
            "license": "RN106423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trenton Dental Center LLC
• Trueheart Care Group LLC
• Meghan Trybus, COTA
• Elvin Gregory Tubre, M.D.
• Tammy Renee Tubre, LPC
• Paula June Tucker
• Shimika D Turner, LPC-S
• Melannie G Turpin, DDS
• Stephen W Turpin, DDS
• Jodi Wright Tyler, PLPC

• Community Health Registered Nurse in Ruston, LA
• Providers in Ruston, LA by specialty
• Community Health Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.