Heather Marie Tucker, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2672P Issued in KY

Practice address

12201 Bluegrass Pkwy
Louisville, KY 40299-2361

Phone

(502) 568-7364

Fax

(502) 568-7136

NPI assigned

Jul 18, 2006

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

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kentucky Mso LLC

  • Gastroenterology Physician
  • Georgetown, KY
  • NPI 1164867883

  Nurse Practitioner

  Medicare reassignment NPD
• Kentucky Mso LLC

  • Rural Health Clinic/Center
  • Lawrenceburg, KY
  • NPI 1922860758
  NPD
• Kentucky Mso, LLC

  • Cardiovascular Disease Physician
  • Georgetown, KY
  • NPI 1679902340
  NPD
• Commonwealth Specialists of Kentucky LLC

  • Pain Medicine Physician
  • Frankfort, KY
  • NPI 1770741498

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1326067992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 KINGS DAUGHTERS DR",
            "address_2": "SUITE 108",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406016561",
            "telephone_number": "502-226-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 BLUEGRASS PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992361",
            "telephone_number": "502-568-7364",
            "fax_number": "502-568-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "2672P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clint M Tucker, MD
• Craig L Tucker, M.D.
• Danielle Elizabeth Tucker, ADULT PEER SUPPORT
• Dara Tucker, NP
• Hailey Marie Tucker, MSSW
• Jill Ann Tucker, LPCC
• Kaitlyn Diane Tucker, PA-C
• Lindsay Tucker
• Michael A Tucker, PHARMD, RPH
• Patricia W Tucker, D.M.D.

• Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.