Active NPI
Kara Earthman Tucker
- Women's Health Nurse Practitioner
- Hendersonville, TN
National Provider Identifier
1609319136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 22061
- Practice address
- 353 New Shackle Island Rd
Suite 221B
Hendersonville, TN 37075-2379 - Phone
- (615) 822-3880
- Fax
- (615) 264-1664
- NPI assigned
- Dec 1, 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 22061 | TN | Primary |
Addresses
Primary practice location
353 New Shackle Island Rd
Suite 221B
Hendersonville, TN 37075-2379
Mailing address
3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 851-6033
Other practice location 1
4322 Harding Pike Ste 329
Nashville, TN 37205-2664
Phone (615) 630-6969
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q026121 | Medicaid | TN | |
| 6091937 | Other | SD | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22061 | TN | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woods Gynecology, PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Nashville, TN
- NPI 1154453884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608163200000",
"number": "1609319136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3024 BUSINESS PARK CIR",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370723132",
"telephone_number": "615-851-6033",
"fax_number": "615-851-2018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 NEW SHACKLE ISLAND RD",
"address_2": "SUITE 221B",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370752379",
"telephone_number": "615-822-3880",
"fax_number": "615-264-1664"
}
],
"practiceLocations": [
{
"address_1": "4322 Harding Pike Ste 329",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372052664",
"country_code": "US",
"telephone_number": "615-630-6969",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUCKER",
"first_name": "KARA",
"middle_name": "EARTHMAN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-01",
"last_updated": "2020-12-17",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TN",
"license": "22061",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q026121",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "6091937",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hendersonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.