Active NPI
Lisa D. Tucker, M.D., P.a.
- Obstetrics & Gynecology Physician
- Pensacola, FL
National Provider Identifier
1609885441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 14612
- Legal business name
- LISA D. TUCKER, M.D., P.A.
- Practice address
- 2510 N 12TH Ave
Pensacola, FL 32503-4604 - Phone
- (850) 432-7310
- Fax
- (850) 432-7320
- NPI assigned
- Aug 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lisa D. Tucker, M.D.
- Title
- President
- Phone
- (850) 432-7310
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 14612 | FL | Primary |
Addresses
Primary practice location
2510 N 12TH Ave
Pensacola, FL 32503-4604
Mailing address
2510 N 12TH Ave
Pensacola, FL 32503-4604
Phone (850) 432-7310
National Provider Directory
National Provider DirectoryLocations
3417 N 12th Ave
Pensacola, FL 32503
Phone (850) 432-7310
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Hancock, MI
- NPI 1497742977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609885441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 N 12TH AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325034604",
"telephone_number": "850-432-7310",
"fax_number": "850-432-7320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 N 12TH AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325034604",
"telephone_number": "850-432-7310",
"fax_number": "850-432-7320"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LISA D. TUCKER, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TUCKER",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "850-432-7310",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "14612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.