Individual provider Active NPI

Jerrica Tucker, AU. D

  • Audiologist
  • North Richland Hills, TX
National Provider Identifier
1508380320
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
80844 Issued in TX
Practice address
4351 Booth Calloway Rd Ste 308
North Richland Hills, TX 76180-7380
Phone
(817) 595-3700
Fax
(817) 595-3701
NPI assigned
Aug 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 80844 TX Primary

Addresses

Primary practice location

4351 Booth Calloway Rd Ste 308
North Richland Hills, TX 76180-7380

Mailing address

10740 N Gessner Rd Ste 310
Houston, TX 77064-1240
Phone (281) 897-0416

Other names 1

  • Jerrica Box Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180214002216 TX Practitioner - Qualified Audiologist 4880954759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of North Texas HSC, College of Osteopathic Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Ear, Nose and Throat Specialists, PLLCGroup PAC ID 5799770202, 123 clinicians

Practice addresses (Care Compare)

4401 Coit Rd
Suite 411
Frisco, TX 75035-0520
Phone (972) 731-7654

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80844TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ear, Nose and Throat Associates of Frisco, P.a. CurrentSince Jan 15, 2020 Accepting new patients
Texas Ear, Nose & Throat Specialists, PLLC Audiologist CurrentSince Mar 9, 2023 Accepting new patients
Noble Anesthesia Partners, PLLC Past Accepting new patients

Locations

4401 Coit Rd
Ste 411
Frisco, TX 75035
Phone (972) 731-7654

10740 N Gessner Rd
Ste 310
Houston, TX 77064
Phone (281) 897-0416

6717 Eldorado Pkwy
Ste 140
McKinney, TX 75070
Phone (972) 529-4333

9301 Pinecroft Dr
Ste 150
Shenandoah, TX 77380
Phone (281) 362-1368

Organizations & group practices 3

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": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1508380320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10740 N GESSNER RD STE 310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770641240",
            "telephone_number": "281-897-0416",
            "fax_number": "800-876-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 BOOTH CALLOWAY RD STE 308",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761807380",
            "telephone_number": "817-595-3700",
            "fax_number": "817-595-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "JERRICA",
        "credential": "AU. D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERRICA",
            "last_name": "BOX",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.