Individual provider Active NPI

Carrie Tucker, C.N.P.

  • Family Nurse Practitioner
  • Parma Heights, OH
National Provider Identifier
1801205109
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.16377-NP Issued in OH
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

Updated by the provider on Jan 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, KY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140926000794 OH Practitioner - Nurse Practitioner 3173743150 Reassigns benefits to 1 organization
I20231006002908 PA Practitioner - Nurse Practitioner 3173743150 Reassigns benefits to 1 organization
I20250325001862 KY Practitioner - Nurse Practitioner 3173743150 Reassigns benefits to 1 organization

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
Villagehealth DM LLCGroup PAC ID 2769812445, 161 clinicians

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

LicenseStateTypeSpecialty
COA.16377-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Villagehealth DM LLC CurrentSince Dec 12, 2021 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

  • FHIR API: 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

Verify at the official NPI Registry.