Active NPI
Cammy Sue Tucker, RD
- Registered Dietitian
- Emporia, KS
National Provider Identifier
1538830666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1476
- Practice address
- 1201 W 12TH Ave
Emporia, KS 66801-2597 - Phone
- (620) 343-6800
- NPI assigned
- Sep 28, 2021
- Last updated
- Sep 28, 2021
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1476 | KS | Primary |
Addresses
Primary practice location
1201 W 12TH Ave
Emporia, KS 66801-2597
Mailing address
1201 W 12TH Ave
Emporia, KS 66801-2597
Phone (620) 343-6800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1476 | KS | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newman Memorial County Hospital | Current | Accepting new patients | |
| Newman Memorial County Hospital | Current | Accepting new patients | |
| Newman Memorial County Hospital | Past | Accepting new patients |
Locations
1201 W 12th Ave
Emporia, KS 66801
Phone (620) 343-2376
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Newman Regional Health
- Critical Access Hospital
- Emporia, KS
- NPI 1245643576
-
dba Newman Express Care
- Urgent Care Clinic/Center
- Emporia, KS
- NPI 1922306729
-
dba Newman Regional Health
- Emergency Medicine Physician
- Emporia, KS
- NPI 1457379273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1538830666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 W 12TH AVE",
"city": "EMPORIA",
"state": "KS",
"postal_code": "668012597",
"telephone_number": "620-343-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 W 12TH AVE",
"city": "EMPORIA",
"state": "KS",
"postal_code": "668012597",
"telephone_number": "620-343-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "CAMMY",
"middle_name": "SUE",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-28",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "1476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Emporia, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.