New Vision Prenatal Care

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Legal business name

NEW VISION PRENATAL CARE

Practice address

8700 W. Brown Deer Rd.
Milwaukee, WI 53224

Phone

(414) 930-8884

NPI assigned

Mar 17, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Darry Jerom Tucker, DR.

Title

Pastor

Phone

(414) 610-4720

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1609524669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3074 N. 84TH ST.",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53222",
            "telephone_number": "414-610-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 W. BROWN DEER RD.",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53224",
            "telephone_number": "414-930-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISION PRENATAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "DARRY",
        "authorized_official_middle_name": "JEROM",
        "authorized_official_title_or_position": "PASTOR",
        "authorized_official_telephone_number": "414-610-4720",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pastoral Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Pastoral Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.