Active NPI
Cathy Tucker, LLPN
- Medical-Surgical Clinical Nurse Specialist
- Atlantic City, NJ
National Provider Identifier
1548428865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Clinical Nurse Specialist
- License
- 181145
- Practice address
- 1653 Beach Ave
Atlantic City, NJ 08401-1607 - Phone
- (609) 892-2995
- NPI assigned
- May 23, 2008
- 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 |
|---|---|---|---|---|
| Medical-Surgical Clinical Nurse Specialist | 364SM0705X | 181145 | NY | Primary |
Addresses
Primary practice location
1653 Beach Ave
Atlantic City, NJ 08401-1607
Mailing address
1653 Beach Ave
Atlantic City, NJ 08401-1607
Phone (609) 892-2995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02759593 | Medicaid | NY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 181145 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211500800000",
"number": "1548428865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1653 BEACH AVE",
"city": "ATLANTIC CITY",
"state": "NJ",
"postal_code": "084011607",
"telephone_number": "609-892-2995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1653 BEACH AVE",
"city": "ATLANTIC CITY",
"state": "NJ",
"postal_code": "084011607",
"telephone_number": "609-892-2995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "CATHY",
"name_prefix": "Mrs.",
"credential": "LLPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-23",
"last_updated": "2008-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "364SM0705X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Medical-Surgical",
"state": "NY",
"license": "181145",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02759593",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlantic City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.