Adult Education Associates

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0041206004 Issued in IL

Legal business name

ADULT EDUCATION ASSOCIATES

Practice address

748 Timbercreek Road
Dixon, IL 61021

Phone

(815) 284-3940

Fax

(815) 284-9267

NPI assigned

Nov 17, 2007

Last updated

Nov 17, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael C Tucker, MS CADCNPI 1962524793

Title

Program Director

Phone

(815) 284-3940

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael C Tucker, MS CADC

  • Addiction (Substance Use Disorder) Counselor
  • Dixon, IL
  • NPI 1962524793
  NPD (past) Authorized official
• Kim Miller, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Dixon, IL
  • NPI 1568021137
  NPD (past)

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

{
    "created_epoch": "1195257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195257600000",
    "number": "1205017373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 TIMBERCREEK ROAD",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "61021",
            "telephone_number": "815-284-3940",
            "fax_number": "815-284-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 TIMBERCREEK ROAD",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "61021",
            "telephone_number": "815-284-3940",
            "fax_number": "815-284-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT EDUCATION ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-17",
        "last_updated": "2007-11-17",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "815-284-3940",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS CADC"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "0041206004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Brush With Dentistry, P.C.
• Abundant Life Counseling and Wellness Group
• Alejandro Aburto-Rodriguez, MHP
• Andrew E Accardi, A.T.C/L
• Corrinne Elizabeth Ackman, OTR/L
• Advance EMS of Dixon, Inc.
• Pranjal M Agrawal, M.D.
• Luqmaan Ahmed, DPM
• Elivia Ahrens, LCSW
• Gina Aikins, MS, RD, LD

• Registered Nurse in Dixon, IL
• Providers in Dixon, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2007; 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.