Territa I Tucker, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

145112O Issued in OH

Practice address

10616 Elmwood Ave
Garfield Heights, OH 44125-2621

Phone

(216) 587-5497

NPI assigned

Sep 2, 2011

Last updated

Sep 2, 2011By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1164703161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10616 ELMWOOD AVE",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252621",
            "telephone_number": "216-587-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10616 ELMWOOD AVE",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252621",
            "telephone_number": "216-587-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "TERRITA",
        "middle_name": "I",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "145112O",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Edward Traylor
• Jennifer C Trecaso, PT, DPT
• Trip Van Transportaion
• Truth and Vision Ministries, Nonprofit
• Clairesa Tonya Tucker, PHLEBOTOMY TECH
• Fatima Turner
• Bridget Ann Twigger
• Laura Emily Umek, PA-C
• University Primary Care Practices Inc. (UH Center of Orthopedics)
• Uptown Transporters LLC

• Licensed Practical Nurse in Garfield Heights, OH
• Providers in Garfield Heights, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.