Active NPI
Melody Ann Tucker, AU.D.
- Audiologist
- Lakeland, FL
National Provider Identifier
1346386927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY 136
- Practice address
- 3310 Lakeland Hills Blvd
Lakeland, FL 33805-1974 - Phone
- (863) 802-6600
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY 136 | FL | Primary |
Addresses
Primary practice location
3310 Lakeland Hills Blvd
Lakeland, FL 33805-1974
Mailing address
1050 Winifred Way
Lakeland, FL 33809-2365
Phone (863) 802-6610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AY 136 | Other | FL | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AY 136 | FL | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346386927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 WINIFRED WAY",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338092365",
"telephone_number": "863-802-6610",
"fax_number": "863-802-6639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3310 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338051974",
"telephone_number": "863-802-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "MELODY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY 136",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "AY 136",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.