Ellen Cathleen Tucker, RN PC NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

205994 Issued in MA

Practice address

572 Washington St
Wellesley, MA 02482-6418

Phone

(617) 674-2033

Fax

(617) 674-2033

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1669542890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024826418",
            "telephone_number": "617-674-2033",
            "fax_number": "617-674-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024826418",
            "telephone_number": "617-674-2033",
            "fax_number": "617-674-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "ELLEN",
        "middle_name": "CATHLEEN",
        "name_prefix": "Ms.",
        "credential": "RN PC NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "205994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raina Trilokekar, DMD
• Trinh Holdings, LLC
• Marshall Trubow, MD
• Michael W Tsappis, M.D.
• Li Tso, M.D.
• Sarwada Tuladhar Jha, MD
• Susan Tulchin, RNCS
• Richard Tung, CMT
• Darcy Turner, NP
• TVCG Newton-Wellesley PLLC

• Psychiatric/Mental Health Nurse Practitioner in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.