Active NPI
Richard Y Tuggle Sr.
- Counselor
- Toledo, OH
National Provider Identifier
1417517475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 170683
- Practice address
- 4604 Blue Rock CT
Toledo, OH 43615-7676 - Phone
- (419) 870-7425
- NPI assigned
- Jun 20, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 170683 | OH | Primary |
Addresses
Primary practice location
4604 Blue Rock CT
Toledo, OH 43615-7676
Mailing address
4604 Blue Rock CT
Toledo, OH 43615-7676
Phone (419) 870-7425
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 |
|---|---|---|---|
| 170683 | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560988800000",
"number": "1417517475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4604 BLUE ROCK CT",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436157676",
"telephone_number": "419-870-7425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4604 BLUE ROCK CT",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436157676",
"telephone_number": "419-870-7425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUGGLE",
"first_name": "RICHARD",
"middle_name": "Y",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-20",
"last_updated": "2019-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "170683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.