Dana Tucker, APRN
Individual provider Active NPI Women's Health Nurse Practitioner · Augusta, KY
NPI 1407173446 · NPPES record last updated Nov 30, 2011
Key facts
- NPI
- 1407173446
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- 3006436 (KY)
- Practice address
- 1551 Augusta Chatham Rd
Augusta, KY 41002-9224 - Phone
- (606) 756-2117
- Fax
- (606) 756-2135
- NPI assigned
- Apr 30, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lewis County Primary Care Center, Inc
Practice addresses (Care Compare)
432 16TH St
Ashland, KY 41101-7693
Phone (859) 509-5636
927 Kenton Station Dr
Maysville, KY 41056-9617
Phone (606) 759-5331
Hospital & facility affiliations
- Meadowview Regional Medical Center
- Fleming County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100707000263 | KY | Practitioner - Nurse Practitioner | 7517098619 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3006436 | KY | MD | Women's Health Nurse Practitioner |
| 6436P | KY | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewis County Primary Care Center, Inc. | Current |
Accepting new patients | |
| Lewis County Primary Care Center, Inc. | Current |
Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
432 16th St
Ashland, KY 41101
Phone (859) 509-5636
1551 Augusta Chatham Rd
Augusta, KY 41002
Phone (606) 756-2117
927 Kenton Station Dr
Maysville, KY 41056
Phone (606) 759-0433
927 Kenton Station Dr
Fl 1
Maysville, KY 41056
927 Kenton Station Dr
Fl 2
Maysville, KY 41056
211 Ky 59
Vanceburg, KY 41179
Phone (606) 793-3029
Interoperability endpoints
- dana.tucker.1@13661.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 3006436 | KY | Yes |
| Women's Health Nurse Practitioner | 363LW0102X | 6436P | KY |
Addresses
Primary practice location
1551 Augusta Chatham Rd
Augusta, KY 41002-9224
Mailing address
PO Box 550
Vanceburg, KY 41179-0550
Phone (606) 796-3029
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100113900 | Medicaid | KY | |
| 3050577 | Medicaid | OH |
Other providers in Augusta, KY
- Harold V Markesbery
- James W Morris
- Wade M Rankin
- Austin Rucker
- Kassandra Brynn Sergent
- Leland Wright
All providers in Augusta, KY · Women's Health Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.