Darlene Thea Tucker, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN163239 Issued in GA

Practice address

6319 Willowbrook Dr
Riverdale, GA 30296-2941

Phone

(404) 971-3664

Fax

(470) 878-1378

NPI assigned

Jul 7, 2020

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

Registered Nurse

State licenses

Practice roles

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.

• Eac Home Solutions LLC

  • Custodial Care Facility
  • Riverdale, GA
  • NPI 1578181574
  NPD Authorized official

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1376161372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 HUMMINGBIRD CT",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302286026",
            "telephone_number": "678-414-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 WILLOWBROOK DR",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302962941",
            "telephone_number": "404-971-3664",
            "fax_number": "470-878-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "DARLENE",
        "middle_name": "THEA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN163239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trident Pulmonary and Critical Care PC
• Triple T Non Emergency Medical Transportation
• Tristar Injury Center of Riverdale LLC
• Truly Living Well PCH, LLC
• Lakredi Vinda Tu Alston, RBT
• Tairon Tucker
• Ruby Rose Villanueva Tumbagahon, PT, DPT
• Brooklyn Elaina Turner, BCBA
• Chinyere Ukegbu
• Assam Ullah, M.D

• Registered Nurse in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.