Active NPI
Amy U Tucker, RD LD
- Registered Dietitian
- Demopolis, AL
National Provider Identifier
1508609330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5459
- Practice address
- 105 US Highway 80 E
Demopolis, AL 36732-3605 - Phone
- (334) 287-2562
- NPI assigned
- Jun 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 5459 | AL | Primary |
Addresses
Primary practice location
105 US Highway 80 E
Demopolis, AL 36732-3605
Mailing address
2004 Marengo Dr
Demopolis, AL 36732-3421
Phone (205) 270-9015
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5459 | AL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1508609330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 MARENGO DR",
"city": "DEMOPOLIS",
"state": "AL",
"postal_code": "367323421",
"telephone_number": "205-270-9015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 US HIGHWAY 80 E",
"city": "DEMOPOLIS",
"state": "AL",
"postal_code": "367323605",
"telephone_number": "334-287-2562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "AMY",
"middle_name": "U",
"name_prefix": "Mrs.",
"credential": "RD LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-18",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "5459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Demopolis, AL
- Tombigbee Healthcare Authority (Whitfield Regional Hospital Geri-Psych Unit)
- Tombigbee Healthcare Authority (Whitfield Regional Hospital Swing Bed)
- Tombigbee Healthcare Authority (Whitfield Regional Hospital Home Health Agency)
- Travis Clinic
- Judy Cooke Travis, MD
- Jamie Lynn Tucker, PHARMD
- Urgent Care Northwest PC (MedCenter Demopolis, LLC)
- Todd Bagwell Vaughan, MD
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0731)
- Wal-Mart Stores East, LP (Vision Center 30-0731)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.