Individual provider Active NPI

Destiny Tucker, CRNP

  • Family Nurse Practitioner
  • Guntersville, AL
National Provider Identifier
1730626631
Registry record updated May 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9457593 Issued in FL
Practice address
2017 Obrig Ave
Guntersville, AL 35976-2156
Phone
(256) 582-2324
Fax
(256) 582-2321
NPI assigned
Jan 30, 2017
Last updated
May 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9457593 FL Primary

Addresses

Primary practice location

2017 Obrig Ave
Guntersville, AL 35976-2156

Mailing address

2017 Obrig Ave
Guntersville, AL 35976-2156
Phone (256) 582-2324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20171108003120 AL Practitioner - Nurse Practitioner 6204106131 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Post-Acute Medical Service 1 PCGroup PAC ID 7416229406, 17 clinicians
Southern Immediate Care, LLCGroup PAC ID 6103114087, 46 clinicians

Practice addresses (Care Compare)

1132 Oak Blvd
Moody, AL 35004-3135
Phone (205) 529-3398

4100 McClellan Blvd
Anniston, AL 36201-2132
Phone (256) 235-2273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9457593FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Mso LLC CurrentSince May 16, 2025 Accepting new patients
Russellville Hospital Inc CurrentSince Aug 1, 2023 Accepting new patients
Eastern Hospital Medicine PC CurrentSince Oct 22, 2023 Accepting new patients
Keel and Associates CurrentSince Jun 13, 2020 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Aug 1, 2024 Accepting new patients
NM Pacs 2 LLC CurrentSince Apr 19, 2024 Accepting new patients
Alabama Post-Acute Medical Service 1 PC CurrentSince Apr 19, 2024 Accepting new patients
Russellville Hospital Inc CurrentSince Aug 1, 2023 Accepting new patients
Medical Director Services PC CurrentSince Mar 28, 2025 Accepting new patients
Eastern Hospital Medicine PC CurrentSince Oct 22, 2023 Accepting new patients
Southern Immediate Care, LLC CurrentSince Jun 13, 2020 Accepting new patients
Blossomwood Medical PC PastSince Jul 1, 2022 Accepting new patients

Locations

1555 Hillabee St
Alexander City, AL 35010
Phone (256) 329-0847

4100 McClellan Blvd
Anniston, AL 36201
Phone (256) 235-2273

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

200 N Pine Hill Rd
Birmingham, AL 35217
Phone (205) 249-2552

401 Arnold St NE
Cullman, AL 35055
Phone (256) 739-9593

280 Mt Hebron Rd
Elmore, AL 36025
Phone (334) 265-7585

1720 Knowles Rd
Phenix City, AL 36869
Phone (334) 291-0485

857 Crawford Ln
Prichard, AL 36617
Phone (251) 433-9801

15225 Highway 43
Ste I
Russellville, AL 35653
Phone (256) 331-2700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17814/brand/1/csg/1/fhir/r4

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495497600000",
    "number": "1730626631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 OBRIG AVE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359762156",
            "telephone_number": "256-582-2324",
            "fax_number": "256-582-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 OBRIG AVE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359762156",
            "telephone_number": "256-582-2324",
            "fax_number": "256-582-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "DESTINY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9457593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guntersville, AL

Sources for this page

Verify at the official NPI Registry.