Bettina Sanders Tucker, AU.D., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AY425 Issued in FL

Practice address

4202 E Fowler Ave
Communication Sciences and Disorders-PCD 1017
Tampa, FL 33620-8001

Phone

(813) 974-8804

Fax

(813) 974-0822

NPI assigned

May 23, 2006

Last updated

Jan 22, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University Medical Service Association Inc

  • Neurological Surgery Physician
  • Tampa, FL
  • NPI 1740227966
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1780639187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 E FOWLER AVE",
            "address_2": "COMMUNICATION SCIENCES AND DISORDERS-PCD 1017",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336208001",
            "telephone_number": "813-974-8804",
            "fax_number": "813-974-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 E FOWLER AVE",
            "address_2": "COMMUNICATION SCIENCES AND DISORDERS-PCD 1017",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336208001",
            "telephone_number": "813-974-8804",
            "fax_number": "813-974-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "BETTINA",
        "middle_name": "SANDERS",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY425",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "FL",
            "license": "AY425",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006642800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006642801",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "S006S",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandee Nicole Tuccy, COTA/L
• Howard S Tuch, M.D.
• Tucker & Tucker Alf
• Alaina Camele Tucker
• Aric Tucker, D.O.
• Dale Tucker, MA
• Kimberly Ann Tucker, OTR/L
• Melissa Tucker
• Nicole Ann Tucker, RMHCI
• Nikita Sennovia Tucker, RBT

• Audiologist in Tampa, FL
• Providers in Tampa, FL by specialty
• Audiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.