Jackie Tucker

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

3023 Saratoga Dr
Baton Rouge, LA 70808-3464

Phone

(225) 405-4732

NPI assigned

Mar 22, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Jackie Henry Tucker Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1427410307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 SARATOGA DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083464",
            "telephone_number": "225-405-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 SARATOGA DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083464",
            "telephone_number": "225-405-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "JACKIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "TUCKER",
            "middle_name": "HENRY",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mike Tu, PHARMD
• Lacy Tubbs, RD
• Caitlin Tucker, PLPC
• Carrie S. Tucker, LCSW
• Devon Bass Kendrick Tucker, AT
• Lynn Z. Tucker, M.D.
• Mala Tucker
• Patrick Tucker, CRNA
• Raymond Tucker, PHD
• William Jacarl Tucker

• Professional Counselor in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.