Individual provider Active NPI

Laura Jane Tucco, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago Heights, IL
National Provider Identifier
1710104328
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277.000046 Issued in IL
Practice address
152 W Lincoln Hwy
Chicago Heights, IL 60411-2619
Phone
(708) 754-9687
Fax
(708) 754-3071
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277.000046 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277.000046 IL Primary

Addresses

Primary practice location

152 W Lincoln Hwy
Chicago Heights, IL 60411-2619

Mailing address

152 W Lincoln Hwy
Chicago Heights, IL 60411-2619
Phone (708) 754-9687

Other practice location 1

5257 S Cicero Ave
Chicago, IL 60632-4915
Phone (773) 735-8038

Other practice location 2

4201 W 95th St
Oak Lawn, IL 60453-2615
Phone (708) 636-8546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20071128000411 IL Practitioner - Nurse Practitioner 5193814176 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Community Health NetworkGroup PAC ID 9537076112, 182 clinicians

Practice addresses (Care Compare)

152 W Lincoln Hwy
Family Health Society
Chicago Heights, IL 60411-2619
Phone (708) 754-9687

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277.000046ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince Jun 13, 2022 Accepting new patients
Access Community Health Network Current Accepting new patients
Nowobilska Medical Practice LTD CurrentSince Jan 1, 2015 Accepting new patients
Access Community Health Network CurrentSince Jun 13, 2022 Accepting new patients

Locations

5257 S Cicero Ave
Chicago, IL 60632
Phone (773) 735-8038

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

152 W Lincoln Hwy
Chicago Hts, IL 60411
Phone (708) 754-9687

4201 W 95th St
Oak Lawn, IL 60453
Phone (708) 636-1466

Interoperability endpoints

  • Direct secure messaging: ltucco21846@direct.achn.net
  • Direct secure messaging: ltucco301630@direct.myadvocateaurora.org

Organizations & group practices 4

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1710104328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 W LINCOLN HWY",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112619",
            "telephone_number": "708-754-9687",
            "fax_number": "708-754-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 W LINCOLN HWY",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112619",
            "telephone_number": "708-754-9687",
            "fax_number": "708-754-3071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5257 S Cicero Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606324915",
            "country_code": "US",
            "telephone_number": "773-735-8038",
            "fax_number": "773-735-8297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4201 W 95th St",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604532615",
            "country_code": "US",
            "telephone_number": "708-636-8546",
            "fax_number": "708-636-0264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCCO",
        "first_name": "LAURA",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2022-07-22",
        "certification_date": "2022-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.000046",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277.000046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago Heights, IL

Sources for this page

Verify at the official NPI Registry.