Nicholas James Ryan Tucker

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

Practice address

6005 Tyee Dr SW
Tumwater, WA 98512-7356

Phone

(360) 628-1105

NPI assigned

Apr 25, 2023

Sex

Male

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)

Not enrolled

Practice roles

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.

• Educational Service District 113

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Raymond, WA
  • NPI 1285886655
  NPD (past)
• Educational Service District 113

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Shelton, WA
  • NPI 1952437824
  NPD (past)

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1740978097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 TYEE DR SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127356",
            "telephone_number": "360-628-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 TYEE DR SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127356",
            "telephone_number": "360-628-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "NICHOLAS",
        "middle_name": "JAMES RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-25",
        "last_updated": "2025-09-11",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loi Tran
• Mylinh Tran
• Thuy-Lien Vu Tran, PHARMD
• Ludmila Tschursin
• Kellyn Tucker
• Tumwater Chiropractic Center PS
• Tumwater Eye Center Inc
• Tumwater Eye Center Inc
• Tumwater Family Practice Clinic
• Tumwaterschool District

• School Social Worker in Tumwater, WA
• Providers in Tumwater, WA by specialty
• School Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.