Kennedy Mason Tucker

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

61 S Stanfield Rd
Troy, OH 45373-2992

Phone

(937) 335-3701

NPI assigned

Jun 28, 2022

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1144952201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 CHESHIRE RD APT 12B",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453735625",
            "telephone_number": "614-774-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 S STANFIELD RD",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732992",
            "telephone_number": "937-335-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "KENNEDY",
        "middle_name": "MASON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Physical Therapy LLC
• Troy Rehabilitation and Healthcare Center LLC
• Troy Speech Therapy, LLC
• Elizabeth Trubee
• Lindsey Renee Trutter, M.D.
• Stephanie Tuente
• Donna J Turner, LSW
• Megan Turner, PA-C
• Patrick J Turner, CDCA
• Glenda M Updyke, MS PA-C

• Social Worker in Troy, OH
• Providers in Troy, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.