Active NPI
Shanna Rene Tucker, RBT
- Behavior Technician
- Winfield, WV
National Provider Identifier
1518477173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2631 State Route 34
Winfield, WV 25213-7797 - Phone
- (681) 235-3114
- Fax
- (866) 332-2962
- NPI assigned
- Oct 9, 2017
- Last updated
- Jun 16, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NU | Primary |
Addresses
Primary practice location
2631 State Route 34
Winfield, WV 25213-7797
Mailing address
PO Box 4100
Barboursville, WV 25504-4100
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1518477173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4100",
"city": "BARBOURSVILLE",
"state": "WV",
"postal_code": "255044100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2631 STATE ROUTE 34",
"city": "WINFIELD",
"state": "WV",
"postal_code": "252137797",
"telephone_number": "681-235-3114",
"fax_number": "866-332-2962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "SHANNA",
"middle_name": "RENE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-09",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winfield, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.