Teresa D Tucker, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

13057 Issued in TN

Practice address

765 Florence Rd
Savannah, TN 38372-3451

Phone

(731) 925-2300

NPI assigned

Nov 30, 2007

Last updated

Dec 13, 2022By 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

Other names 1

• Teresa D Dao;Eu Former name

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hardin County Regional Health CenterGroup PAC ID 3779490776, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hardin Medical Center Hospital, Savannah, TN, CCN 440109

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: teresa.dailey.p1@direct.lifespanhealth.nextgenshare.com

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.

• Hardin County Regional Health Center

  dba Lifespan Health

  • Federally Qualified Health Center (FQHC)
  • Savannah, TN
  • NPI 1184676157
  Medicare reassignment Care Compare group NPD
• Hardin County Regional Health Center

  dba Lifespan Health

  • Federally Qualified Health Center (FQHC)
  • Savannah, TN
  • NPI 1013509223
  NPD
• Tennessee River Pain Management Clinic

  • Adult Health Nurse Practitioner
  • Savannah, TN
  • NPI 1447578018
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hardin County General Hospital

  dba Hardin Medical Center

  • General Acute Care Hospital
  • Savannah, TN
  • NPI 1699754812
  Care Compare affiliation

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1780866830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383720655",
            "telephone_number": "731-925-2300",
            "fax_number": "731-925-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 FLORENCE RD",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383723451",
            "telephone_number": "731-925-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "TERESA",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000013057",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "13057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "APN0000013057",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL FECA",
            "identifier": "613360505",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3341539",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "DAO;EU",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Gerontology Nurse Practitioner in Savannah, TN
• Providers in Savannah, TN by specialty
• Gerontology Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.