John Alexander Pucker, APN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

209.007589 Issued in IL

Practice address

836 W Wellington Ave
Nelson BLDG. Professional Development 1St Floor
Chicago, IL 60657-5147

Phone

(773) 296-7295

Fax

(773) 296-8909

NPI assigned

Nov 22, 2011

Sex

Male

Sole proprietor

No

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": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1265709018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 W WELLINGTON AVE",
            "address_2": "NELSON BLDG. PROFESSIONAL DEVELOPMENT 1ST FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575147",
            "telephone_number": "773-296-7295",
            "fax_number": "773-296-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 W WELLINGTON AVE",
            "address_2": "NELSON BLDG. PROFESSIONAL DEVELOPMENT 1ST FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575147",
            "telephone_number": "773-296-7295",
            "fax_number": "773-296-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKER",
        "first_name": "JOHN",
        "middle_name": "ALEXANDER",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "IL",
            "license": "209.007589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Puccinelli
• Nina Puccinelli
• Angelica Maria Pucha, PMHNP-BC
• Caroline Kathleen Puchek, M.S.
• Christopher Alexander Puchi, MD
• Maggie Pucker, MS, LSW
• Elizabeth Puckett, M.A., CCC-SLP
• Michael Todd Puckett, LCPC
• Ryan Puckett
• Samuel Puckett, MSW

• Emergency Registered Nurse in Chicago, IL
• Providers in Chicago, IL by specialty
• Emergency Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.