Individual provider Active NPI

Leslie Alison Stucker, NP

  • Family Nurse Practitioner
  • Cordova, TN
National Provider Identifier
1861879496
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19851 Issued in TN
Practice address
676 N Germantown Pkwy
Cordova, TN 38018-6210
Phone
(901) 259-0986
NPI assigned
May 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 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 19851 TN Primary

Addresses

Primary practice location

676 N Germantown Pkwy
Cordova, TN 38018-6210

Mailing address

676 N Germantown Pkwy
Cordova, TN 38018-6210
Phone (901) 259-0986

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150630002905 TN Practitioner - Nurse Practitioner 6800108002 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Psychiatry IncGroup PAC ID 7618381112, 5 clinicians

Practice addresses (Care Compare)

1011 W Poplar Ave
Suite 7
Collierville, TN 38017-2577
Phone (901) 446-0226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
19851TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Jul 5, 2022 Accepting new patients
Core Psychiatry Inc. CurrentSince Oct 1, 2025 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince May 4, 2015 Accepting new patients

Locations

1011 W Poplar Ave
Ste 7
Collierville, TN 38017
Phone (901) 446-0226

676 N Germantown Pkwy
Cordova, TN 38018
Phone (901) 259-0986

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430697600000",
    "number": "1861879496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N GERMANTOWN PKWY",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186210",
            "telephone_number": "901-259-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N GERMANTOWN PKWY",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186210",
            "telephone_number": "901-259-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKER",
        "first_name": "LESLIE",
        "middle_name": "ALISON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.