Vivien O Tucker, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01039200A Issued in IN

Practice address

13859 Greenridge Rd
Fayetteville, AR 72701-0789

Phone

(812) 455-8405

Fax

(479) 269-4261

NPI assigned

May 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1821049925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13859 GREENRIDGE RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727010789",
            "telephone_number": "812-455-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13859 GREENRIDGE RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727010789",
            "telephone_number": "812-455-8405",
            "fax_number": "479-269-4261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10128 Brookcrest Dr",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477117156",
            "country_code": "US",
            "telephone_number": "812-455-8405",
            "fax_number": "479-269-4261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "VIVIEN",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-13",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01039200A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100359550",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Bass Trumbo, MHPP
• Ruth Ellen Tubbs
• Amy Marie Tucker, LCSW
• Rachel Tucker, PHARMD
• Rachel Elyse Tucker
• Jessica Ashley Tuell, DPT
• Deanna Denise Tullin
• Danielle Samantha Tulloch
• Juliet Tunberg
• Tonya Turic, LPC

• Family Medicine Physician in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.

Verify at the official NPI Registry.