Linda J Tucker, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

516 Issued in NE

Practice address

8201 Northwoods Dr
Lincoln, NE 68505-3092

Phone

(402) 465-5600

Fax

(402) 437-0852

NPI assigned

Dec 29, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

Practice roles

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.

• Complete Children'S Health, P.C.

  • Pediatrics Physician
  • Lincoln, NE
  • NPI 1962610493
  NPD (past)

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1639156607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 PINE LAKE RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 NORTHWOODS DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685053092",
            "telephone_number": "402-465-5600",
            "fax_number": "402-437-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "LINDA",
        "middle_name": "J",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47079049100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casandra Tucker, PA-C
• Jacob Tucker, D.C.
• Johnathon Tucker
• Juanita Tucker
• Kimberly J Tucker, O.D.
• Mary Elizabeth Tucker, PA-C
• Patricia M Tucker, CMSW
• Tykiah Tucker
• Antover Tuliao
• Tullis & Tullis

• Medical Physician Assistant in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Medical Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.