Active NPI
Jessica Nicole Tucker, LDN
- Registered Dietitian
- Plant City, FL
National Provider Identifier
1780498709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND12638
- Practice address
- 2909 N Pineway Dr
Plant City, FL 33566-4045 - Phone
- (813) 730-0846
- NPI assigned
- Feb 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND12638 | FL | Primary |
Addresses
Primary practice location
2909 N Pineway Dr
Plant City, FL 33566-4045
Mailing address
2909 N Pineway Dr
Plant City, FL 33566-4045
Phone (813) 730-0846
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND12638 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1780498709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2909 N PINEWAY DR",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335664045",
"telephone_number": "813-730-0846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2909 N PINEWAY DR",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335664045",
"telephone_number": "813-730-0846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "JESSICA",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-03",
"last_updated": "2025-02-03",
"certification_date": "2025-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND12638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plant City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.