Rose M Tucker

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN0000047143 Issued in TN

Practice address

145 Cross Rd
Wartburg, TN 37887-4332

Phone

(865) 824-6099

NPI assigned

Jan 28, 2021

Last updated

Jan 28, 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

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": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1316538804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 682",
            "city": "WARTBURG",
            "state": "TN",
            "postal_code": "378870682",
            "telephone_number": "865-824-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 CROSS RD",
            "city": "WARTBURG",
            "state": "TN",
            "postal_code": "378874332",
            "telephone_number": "865-824-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "ROSE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "LPN0000047143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Medical Group, PLLC (Summit Medical Group at Wartburg)
• Valerie Kim Tanner, N.P.
• Sanjay P Thakur, M.D.
• Thomas G. Allen M.D. P.C
• TLC Medical Oxygen & Hospital Equipment Inc (Home Comfort Medical Equip LLC)
• Isaiah James Turner, PT,DPT
• United Apothecary Inc (Riddle Express Pharmacy)
• Deborah Upchurch Howard, APN
• Lindsey Nichole Vannorstran, LPN
• Tresa Vespie, LPN

• Licensed Practical Nurse in Wartburg, TN
• Providers in Wartburg, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.