Renwick Eddie Tucker, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1943 Issued in TN

Practice address

3540 Summer Avenue
305
Memphis, TN 38122-3600

Phone

(901) 644-5416

Fax

(901) 323-2997

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Chiropractic Associates, LLC

  • Chiropractor
  • Spartanburg, SC
  • NPI 1225107774
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487770244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6980 LAGRANGE CIRCLE NORTH",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "38018",
            "telephone_number": "901-251-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 SUMMER AVENUE",
            "address_2": "305",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381223600",
            "telephone_number": "901-644-5416",
            "fax_number": "901-323-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "RENWICK",
        "middle_name": "EDDIE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "1943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7762785",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4100973",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Tucker
• Justin B Tucker, PA-C
• Kimberly Rochelle Brown Tucker, FNP
• Leonard Tucker III, PTA
• Ranesha Tucker
• Tiffany Tucker, PHD
• Sandra Koh Tuhy, FNP-C
• Angela Reed Tull, M.A., CCC-SLP
• Kenneth Frank Tullis, MD
• Erica Tullison

• Chiropractor in Memphis, TN
• Providers in Memphis, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.