Mary Kay Tucker, RN BSN MPH CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

73417 Issued in NC

Practice address

8 Medical Park Dr
Lexington, NC 27292-6768

Phone

(336) 249-4911

Fax

(336) 249-1782

NPI assigned

Nov 28, 2005

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

Credentials

Bachelor on Science - Nursing, Certified Pediatric Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346223047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 IVYSTONE CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271045050",
            "telephone_number": "336-659-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MEDICAL PARK DR",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272926768",
            "telephone_number": "336-249-4911",
            "fax_number": "336-249-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "MARY KAY",
        "name_prefix": "Mrs.",
        "credential": "RN BSN MPH CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "73417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Ted Tracy, DC
• Jessica R Tran, PCA
• Treatment Centers LLC
• Triad ENT PA
• Suzanne Rose Troy
• Michael Raymond Tumbarello, DMD
• Katie M Twomley, M.D.
• Tyjean Moore LLC
• Umar Services, Inc
• Unique Services

• Pediatric Nurse Practitioner in Lexington, NC
• Providers in Lexington, NC by specialty
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.