Individual provider Active NPI

Anna Rouse Tucker, CRNP

  • Family Nurse Practitioner
  • Oxford, AL
National Provider Identifier
1629810940
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-182790 Issued in AL
Practice address
641 Snow St
Oxford, AL 36203-1207
Phone
(256) 273-4963
NPI assigned
Jun 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 1-182790 AL Primary

Addresses

Primary practice location

641 Snow St
Oxford, AL 36203-1207

Mailing address

150 Supply Room Rd
Oxford, AL 36203-1397
Phone (256) 473-1157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240710002903 AL Practitioner - Nurse Practitioner 6103361548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allervie Health, Professional CorporationGroup PAC ID 1254358310, 15 clinicians

Practice addresses (Care Compare)

504 Brookwood Blvd
Birmingham, AL 35209-6802
Phone (205) 871-9661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allervie Health Professional Corporation Multi-Specialty CurrentSince Jul 1, 2024 Accepting new patients
Premier Allergist of Florida LLC PastSince Jul 1, 2024 Accepting new patients

Locations

2108 AL Highway 157
Cullman, AL 35058
Phone (256) 737-7339

504 Brookwood Blvd
Homewood, AL 35209
Phone (205) 209-4121

2100 Data Park
Ste 200
Hoover, AL 35244
Phone (205) 209-4115

641 Snow St
Oxford, AL 36203
Phone (256) 273-4963

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: tucker.anna.010.0090427@avh.meditab.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1629810940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SUPPLY ROOM RD",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031397",
            "telephone_number": "256-473-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 SNOW ST",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031207",
            "telephone_number": "256-273-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "ANNA",
        "middle_name": "ROUSE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-182790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, AL

Sources for this page

Verify at the official NPI Registry.