Active NPI
Kathy Renee Tucker
- Personal Care Attendant
- Charlotte, NC
National Provider Identifier
1558428284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- HC3523
- Practice address
- 1801 N Tryon St Ste 428
Charlotte, NC 28206-2843 - Phone
- (704) 347-1500
- Fax
- (704) 331-9041
- NPI assigned
- Jan 2, 2007
- Last updated
- Mar 3, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | HC3523 | NC | Primary |
| Personal Care Attendant | 3747P1801X | HC3993 | NC | |
| Personal Care Attendant | 3747P1801X | HC4316 | NC |
Addresses
Primary practice location
1801 N Tryon St Ste 428
Charlotte, NC 28206-2843
Mailing address
1801 N Tryon St Ste 428
Charlotte, NC 28206-2843
Phone (704) 347-1500
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 |
|---|---|---|---|
| HC3523 | NC | MD | Personal Care Attendant |
| HC3993 | NC | MD | Personal Care Attendant |
| HC4316 | NC | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299110400000",
"number": "1558428284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 N TRYON ST STE 428",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282062843",
"telephone_number": "704-347-1500",
"fax_number": "704-331-9041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 N TRYON ST STE 428",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282062843",
"telephone_number": "704-347-1500",
"fax_number": "704-331-9041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "KATHY",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2011-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NC",
"license": "HC3523",
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NC",
"license": "HC3993",
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NC",
"license": "HC4316",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.