Kelly Ann Tucker, M.R.C.

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

4371 E 72ND Ave
Commerce City, CO 80022-1471

Phone

(303) 853-3456

Fax

(303) 289-6962

NPI assigned

Oct 6, 2009

Sex

Female

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

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1295060499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PONDEROSA DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805213129",
            "telephone_number": "303-853-3456",
            "fax_number": "303-289-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4371 E 72ND AVE",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800221471",
            "telephone_number": "303-853-3456",
            "fax_number": "303-289-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "M.R.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Health Worker in Commerce City, CO
• Providers in Commerce City, CO by specialty
• Community Health Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.