Active NPI
Nancy P Tucker, AUD
- Audiologist
- Greenway, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 3171
- Practice address
- 115 Halton Village Circle
Greenway, SC 29607-6825 - Phone
- (864) 281-9440
- Fax
- (864) 281-9443
- NPI assigned
- May 22, 2008
- Last updated
- Jun 24, 2016
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 3171 | SC | Primary |
Addresses
Primary practice location
115 Halton Village Circle
Greenway, SC 29607-6825
Mailing address
115 Halton Village Circle
Greenway, SC 29607-6825
Phone (864) 281-9440
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4505 | Medicaid | SC | |
| 7844 | Other | SC | MEDICARE |
| SA0369 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1095 Iron Ore Rd
Spartanburg, SC 29303-2239
Phone (864) 582-2900
2755 S Hwy 14
Suite 2400
Greer, SC 29650-4940
Phone (864) 582-2900
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.43 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 78.09
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3171 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spartanburg Ear Nose & Throat, Gaffney Office | Current | Accepting new patients | |
| Spartanburg Ear Nose & Throat, Head & Neck Surgery PA | Current | Accepting new patients | |
| St Francis Physician Services Inc | Past | Accepting new patients |
Locations
2755 S Highway 14
Ste 2400
Greer, SC 29650
Phone (864) 582-2900
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.
-
- Specialist
- Spartanburg, SC
- NPI 1225082019
-
- Specialist
- Gaffney, SC
- NPI 1194749853
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295769438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466726400000",
"number": "1578720868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 HALTON VILLAGE CIRCLE",
"city": "GREENWAY",
"state": "SC",
"postal_code": "296076825",
"telephone_number": "864-281-9440",
"fax_number": "864-281-9443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 HALTON VILLAGE CIRCLE",
"city": "GREENWAY",
"state": "SC",
"postal_code": "296076825",
"telephone_number": "864-281-9440",
"fax_number": "864-281-9443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "NANCY",
"middle_name": "P",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-22",
"last_updated": "2016-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "SC",
"license": "3171",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4505",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "7844",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SA0369",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.