Derrick Tuckerson, R.N

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN731687 Issued in CA

Practice address

3801 3Rd Street #5J93
Suite 200
San Fransisco, CA 94124

Phone

(415) 401-4448

NPI assigned

Apr 9, 2018

Sex

Male

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1164929915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 3RD STREET #5J93",
            "address_2": "SUITE 200",
            "city": "SAN FRANSISCO",
            "state": "CA",
            "postal_code": "94124",
            "telephone_number": "415-401-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 3RD STREET #5J93",
            "address_2": "SUITE 200",
            "city": "SAN FRANSISCO",
            "state": "CA",
            "postal_code": "94124",
            "telephone_number": "415-401-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKERSON",
        "first_name": "DERRICK",
        "credential": "R.N",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN731687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyrone Chan, D.D.S.
• Eugene Markell Drake
• Sixta Garcia, NP-BC
• Carol Clarke Jones
• Margaret Roberts Karp, MD
• Lea Wager-Smith

• Registered Nurse in San Fransisco, CA
• Providers in San Fransisco, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.