Kathleen L Tucker, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

831698521205 Issued in UT

Practice address

9493 S 700 E
Sandy, UT 84070-3459

Phone

(801) 576-0176

NPI assigned

Aug 2, 2006

Last updated

Jul 6, 2010By the provider in NPPES

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 names 1

• Kathleen L Tucker-Bird Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1659388759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "801-292-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9493 S 700 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840703459",
            "telephone_number": "801-576-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "KATHLEEN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "831698521205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "TUCKER-BIRD",
            "middle_name": "L",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Lorraine Trujillo, P.T.
• Donata Trussell-Viazzo, PT
• TSW Holding LLC (Origins Therapy and Origins Neurofeedback)
• Dennis Tucker, LCSW
• Julia Marie Tucker, CMHC
• Catherine Tufts
• Lauitiiti Tupuola
• Turnaround Solutions, Inc.
• Michael G Turner, OD
• Sean Christopher Turner, DPT

• Emergency Medicine Physician in Sandy, UT
• Providers in Sandy, UT by specialty
• Emergency Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.