Marcella Louise Tucker, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

040504 Issued in MO

Practice address

4801 E Linwood Blvd
Kansas City, MO 64128-2226

Phone

(816) 922-2705

Fax

(816) 922-4753

NPI assigned

May 30, 2012

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

Other names 1

• Mrs. Marcella Louise Robinson Former name

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": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1295096840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7724 IRWIN RD",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641382569",
            "telephone_number": "816-737-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 E LINWOOD BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641282226",
            "telephone_number": "816-922-2705",
            "fax_number": "816-922-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "MARCELLA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "040504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCELLA",
            "last_name": "ROBINSON",
            "middle_name": "LOUISE",
            "prefix": "MRS.",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lynne Marie Tucholke-Shorter
• Danielle Tucker, NP
• Dawn Tucker, CPNP
• Jason Ray Tucker, MD
• John Tucker, PMHNP-BC
• Megan Hudson Tucker, M.D.
• Robin Diantha Tucker, PMHNP
• Stacy Tucker, RN
• Thomas Elon Tucker, DDS
• Naile Tufan Pekkucuksen, MD

• All providers in Kansas City, MO
• Licensed Practical Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.