Active NPI
Betty Jean Tucker, RN
- Registered Nurse
- Freeport, NY
National Provider Identifier
1144405499
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Mar 18, 2010.
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 290418
- Practice address
- 46 Utz St
Freeport, NY 11520 - Phone
- (516) 208-3524
- Fax
- (516) 208-3524
- NPI assigned
- Jan 7, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 290418 | NY | Primary |
Addresses
Primary practice location
46 Utz St
Freeport, NY 11520
Mailing address
46 Utz St
Freeport, NY 11520
Phone (516) 208-3524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02263207 | Medicaid | NY |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199664000000",
"number": "1144405499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 UTZ ST",
"city": "FREEPORT",
"state": "NY",
"postal_code": "11520",
"telephone_number": "516-208-3524",
"fax_number": "516-208-3524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 UTZ ST",
"city": "FREEPORT",
"state": "NY",
"postal_code": "11520",
"telephone_number": "516-208-3524",
"fax_number": "516-208-3524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "BETTY",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-07",
"last_updated": "2008-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "290418",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02263207",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Freeport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.