Organization Active NPI

Jessica Tucker

  • Licensed Practical Nurse
  • Columbus, OH
National Provider Identifier
1720294788
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
113164 Issued in OH
Legal business name
JESSICA TUCKER
Practice address
1440 Thurell Rd
Columbus, OH 43229-5126
Phone
(614) 378-6590
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Jessica L Tucker, NURSING
Title
LPN
Phone
(614) 378-6590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X 113164 OH Primary

Addresses

Primary practice location

1440 Thurell Rd
Columbus, OH 43229-5126

Mailing address

1440 Thurell Rd
Columbus, OH 43229-5126
Phone (614) 378-6590

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720294788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 THURELL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432295126",
            "telephone_number": "614-378-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 THURELL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432295126",
            "telephone_number": "614-378-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA TUCKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "614-378-6590",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "NURSING"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "113164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.