Cristen Joy Tucker, MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

118997 Issued in TX

Practice address

308 County Road 2466
Mineola, TX 75773-6973

Phone

(903) 780-2069

NPI assigned

Sep 21, 2021

Last updated

Sep 21, 2021By the provider in NPPES

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

• Cristen Joy Tucker Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1306517305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 COUNTY ROAD 2466",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757736973",
            "telephone_number": "903-780-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 COUNTY ROAD 2466",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757736973",
            "telephone_number": "903-780-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "CRISTEN",
        "middle_name": "JOY",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "118997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTEN",
            "last_name": "TUCKER",
            "middle_name": "JOY",
            "credential": "MS, SLP-CF",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brianna Nicole Teaff, DC
• Hayley Teal, RD
• Texas Bluebonnet Home Care Inc (Bluebonnet Home Care)
• Therapy With Autumn
• Trincare Inc (Trinity Optical - Mineola)
• Wal-Mart Stores Texas LLC (Wal-Mart Pharmacy10-0251)
• Wal-Mart Stores Texas, LP (Vision Center 30-0251)
• Walgreen Co. (Walgreens #21479)
• Joe Michael Waller, LPC
• Chelsea Elizabeth Warling, LVN

• Speech-Language Pathologist in Mineola, TX
• Providers in Mineola, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.