Stacy Tucker, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

147360 Issued in MO

Practice address

814 W 17TH St
Kansas City, MO 64108-1132

Phone

(303) 570-8792

NPI assigned

Jun 12, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1619651643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 W 17TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641081132",
            "telephone_number": "303-570-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 W 17TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641081132",
            "telephone_number": "303-570-8792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6299 Nall Ave",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "KS",
            "postal_code": "662023553",
            "country_code": "US",
            "telephone_number": "913-214-6989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "STACY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "147360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Ray Tucker, MD
• John Tucker, PMHNP-BC
• Marcella Louise Tucker, LPN
• Megan Hudson Tucker, M.D.
• Robin Diantha Tucker, PMHNP
• Thomas Elon Tucker, DDS
• Naile Tufan Pekkucuksen, MD
• Meaghan Tufts
• Laura L Tullis, ARNP
• Benesto F Tumanut, M.D.

• All providers in Kansas City, MO
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.