Individual provider Active NPI

Brittany Tucker, FNP

  • Family Nurse Practitioner
  • Centre, AL
National Provider Identifier
1497103253
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-133886 Issued in AL
Practice address
1925 W Main St
Suite 102
Centre, AL 35960-2812
Phone
(256) 677-4552
NPI assigned
Jun 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-133886 AL Primary

Addresses

Primary practice location

1925 W Main St
Suite 102
Centre, AL 35960-2812

Mailing address

1500 1St Ave N
Unit # 3
Birmingham, AL 35203-1865

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20160714000354 AL Practitioner - Nurse Practitioner 1850683665 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-133886ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chilton Family Medicine, P.C. CurrentSince Jul 13, 2017 Accepting new patients
Price Medical Services LLC Current Accepting new patients
Rural Urgent Care LLC CurrentSince Jun 3, 2016 Accepting new patients
Rural Urgent Care LLC CurrentSince Jun 3, 2016 Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

1925 W Main St
Ste 102
Centre, AL 35960
Phone (256) 677-4552

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

107 Health Center Dr
Clanton, AL 35045
Phone (205) 280-1010

Organizations & group practices 4

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": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1497103253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE N",
            "address_2": "UNIT # 3",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 W MAIN ST",
            "address_2": "SUITE 102",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359602812",
            "telephone_number": "256-677-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "BRITTANY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-133886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centre, AL

Sources for this page

Verify at the official NPI Registry.