Grace Lee Tucker, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2017019305 Issued in MO

Practice address

3308 W Edgewood Dr Ste B
Jefferson City, MO 65109-6891

Phone

(573) 893-7848

NPI assigned

Aug 7, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502064000000",
    "number": "1851816334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 BOULDER SPRINGS DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 W EDGEWOOD DR STE B",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096891",
            "telephone_number": "573-893-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "GRACE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2017-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017019305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri-County Group XV, Inc. (Elara Caring)
• James F. Tritz, M.D.
• Jerry Jeff Trulson, M.D.
• Alexa Trusk, CCC-SLP
• Trusted Home Care, Inc.
• Taylor Nicole Tuepker
• Breanna Claudia Tuhlei, MD
• Michael Timothy Tuhlei, RBT
• Nathalie Louise Tungesvik, DDS
• Turnbaugh Surgical Associates, Inc

• Family Nurse Practitioner in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.