Active NPI
Katrina Tucker
- Home Health Aide
- Las Vegas, NV
National Provider Identifier
1528810207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 33930 Howard Hughes Pkwy
Suite 300
Las Vegas, NV 89169 - Phone
- (702) 474-4454
- NPI assigned
- Apr 4, 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
33930 Howard Hughes Pkwy
Suite 300
Las Vegas, NV 89169
Mailing address
2300 Pearson CT Apt B
Las Vegas, NV 89106-3614
Phone (702) 482-1719
Other practice location 1
2300 Pearson Ct Apt B
Las Vegas, NV 89106-3614
Phone (702) 482-1719
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": "1712188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1528810207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 PEARSON CT APT B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891063614",
"telephone_number": "702-482-1719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33930 HOWARD HUGHES PKWY",
"address_2": "SUITE 300",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89169",
"telephone_number": "702-474-4454"
}
],
"practiceLocations": [
{
"address_1": "2300 Pearson Ct Apt B",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891063614",
"country_code": "US",
"telephone_number": "702-482-1719",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUCKER",
"first_name": "KATRINA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-04",
"last_updated": "2024-04-09",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.