Individual provider Active NPI

Angelia Kay Tucker Thompson, D.C.

  • Chiropractor
  • Paragould, AR
National Provider Identifier
1427453844
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16045 Issued in AR
Practice address
211 N 23Rd St Ste 3
Paragould, AR 72450-3984
Phone
(870) 537-0763
Fax
(870) 359-6094
NPI assigned
Oct 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16045 AR Primary

Addresses

Primary practice location

211 N 23Rd St Ste 3
Paragould, AR 72450-3984

Mailing address

211 N 23Rd St Ste 3
Paragould, AR 72450-3984
Phone (870) 537-0763

Other names 1

  • Dr. Angelia Kay Tucker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150219001837 AR Practitioner - Chiropractic 3971828765 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

211 N 23Rd St
Suite 3
Paragould, AR 72450-3984
Phone (870) 573-0763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Curtis Chiropractic and Wellness Center Chiropractor CurrentSince Dec 12, 2014 Accepting new patients
Empowering Health Chiropractic, LLC Chiropractor CurrentSince Jul 2, 2020 Accepting new patients

Locations

3305 E Highland Dr
Ste A
Jonesboro, AR 72401
Phone (870) 934-9900

211 N 23rd St
Ste 3
Paragould, AR 72450
Phone (870) 537-0763

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1427453844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N 23RD ST STE 3",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724503984",
            "telephone_number": "870-537-0763",
            "fax_number": "870-359-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N 23RD ST STE 3",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724503984",
            "telephone_number": "870-537-0763",
            "fax_number": "870-359-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ANGELIA",
        "middle_name": "KAY TUCKER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-28",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELIA",
            "last_name": "TUCKER",
            "middle_name": "KAY",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paragould, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.