Roslyn Forde-Tucker

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0000000000 Issued in CT

Practice address

101 Knollwood Dr
Wolcott, CT 06716-2854

Phone

(203) 768-5072

NPI assigned

Jul 26, 2021

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

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Prime Healthcare, PC

  • Internal Medicine Physician
  • Wethersfield, CT
  • NPI 1184819302

  CT, Family

  Medicare reassignment NPD
• Prime Healthcare (Sleep Lab)

  • Sleep Disorder Diagnostic Clinic/Center
  • Wethersfield, CT
  • NPI 1184832354
  NPD
• Camellia Place Healthcare Services LLC

  • Primary Care Clinic/Center
  • Newington, CT
  • NPI 1447812250

  Family

  NPD (past)

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1417620600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 KNOLLWOOD DR",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162854",
            "telephone_number": "203-768-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 KNOLLWOOD DR",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162854",
            "telephone_number": "203-768-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORDE-TUCKER",
        "first_name": "ROSLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "0000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Dental Care LLC
• Feeling & Healing LLC
• Shauna Leigh Figueroa, LCSW
• Lori A Finke, RN
• Morgan Finn
• Laurin Jo Franco, MS
• Shawn Freeney
• Ezra Friedman, DDS
• Fundamental Family Therapy, LLC
• Jeremy Gagnon

• Family Nurse Practitioner in Wolcott, CT
• Providers in Wolcott, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.