Active NPI
Carrie Tucker, C.N.P.
- Family Nurse Practitioner
- Parma Heights, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA.16377-NP
- Practice address
- 9050 N Church Dr
Parma Heights, OH 44130-4701 - Phone
- (440) 292-0226
- Fax
- (440) 292-0225
- NPI assigned
- Aug 12, 2014
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA.16377-NP | OH | Primary |
Addresses
Primary practice location
9050 N Church Dr
Parma Heights, OH 44130-4701
Mailing address
20455 Lorain Rd
Ste T01
Fairview Park, OH 44126-3494
Phone (440) 799-4224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, PA, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2476 Swedesford Rd
150 Davita Administration Office
Malvern, PA 19355-1456
Phone (720) 631-1142
791 White Pond Dr
Akron, OH 44320-1136
Phone (330) 805-8939
8037 Dixie Hwy
Louisville, KY 40258-1344
Phone (800) 424-6589
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.16377-NP | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Villagehealth DM LLC | Current | Accepting new patients |
Locations
2000 16th St
Denver, CO 80202
Phone (253) 733-4500
8037 Dixie Hwy
Louisville, KY 40258
Phone (502) 937-9111
791 White Pond Dr
Akron, OH 44320
Phone (330) 805-8939
2476 Swedesford Rd
Ste 150
Malvern, PA 19355
Phone (720) 631-1142
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420761600000",
"number": "1801205109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20455 LORAIN RD",
"address_2": "STE T01",
"city": "FAIRVIEW PARK",
"state": "OH",
"postal_code": "441263494",
"telephone_number": "440-799-4224",
"fax_number": "440-799-4228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9050 N CHURCH DR",
"city": "PARMA HEIGHTS",
"state": "OH",
"postal_code": "441304701",
"telephone_number": "440-292-0226",
"fax_number": "440-292-0225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "CARRIE",
"credential": "C.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-12",
"last_updated": "2015-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA.16377-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parma Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.