Amanda Dawn Tucker, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

5911 Issued in HI

Practice address

5053 Rangeview Ave
Longmont, CO 80504-3536

Phone

(970) 456-5245

NPI assigned

Mar 25, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Amanda Dawn Tucker-Meuse Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1568856789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5053 RANGEVIEW AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805043536",
            "telephone_number": "970-456-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5053 RANGEVIEW AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805043536",
            "telephone_number": "970-456-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "AMANDA",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "HI",
            "license": "5911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "TUCKER-MEUSE",
            "middle_name": "DAWN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bryan Truong, PA-C
• Laura S Trusty, RN
• Carmen Tsang, DMD
• Jessica Tsourmas, MD
• Jack Tubman
• Catherine J Tulenko, LMT
• Ryan Austria Turla, RPT
• Shannon Leah Turley, MA, CCC-SLP
• Lisa A Turner, MD
• Tiffanie Rae Turner, MA CCC-SLP

• Anesthesiology Physician in Longmont, CO
• Providers in Longmont, CO by specialty
• Anesthesiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.