Individual provider Active NPI

Cheryl Tucker, MACCCSLP

  • Speech-Language Pathologist
  • Mint Hill, NC
National Provider Identifier
1427469246
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6364 Issued in NC
Practice address
7900 Matthews Mint Hill Rd Ste 115
Mint Hill, NC 28227-6514
Phone
(980) 237-6226
Fax
(980) 237-6288
NPI assigned
May 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6364 NC Primary

Addresses

Primary practice location

7900 Matthews Mint Hill Rd Ste 115
Mint Hill, NC 28227-6514

Mailing address

7900 Matthews Mint Hill Rd Ste 115
Mint Hill, NC 28227-6514
Phone (980) 237-6226

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

LicenseStateTypeSpecialty
6364NCMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1427469246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 MATTHEWS MINT HILL RD STE 115",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282276514",
            "telephone_number": "980-237-6226",
            "fax_number": "980-237-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 MATTHEWS MINT HILL RD STE 115",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282276514",
            "telephone_number": "980-237-6226",
            "fax_number": "980-237-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "CHERYL",
        "credential": "MACCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mint Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.