Active NPI
Christine Tucker, CRNP
- Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP016436
- Practice address
- 675 Justice Way Room C0049
Indianapolis, IN 46203 - Phone
- (877) 465-6650
- Fax
- (804) 294-2775
- NPI assigned
- Aug 3, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Nurse Practitioner | 363L00000X | SP016436 | PA | Primary |
| Family Nurse Practitioner | 363LF0000X | SP016436 | PA |
Addresses
Primary practice location
675 Justice Way Room C0049
Indianapolis, IN 46203
Mailing address
18 Old Grandview Ave
Dallas, PA 18612-1115
Phone (570) 479-8797
Other practice location 1
18 Old Grandview Ave
Dallas, PA 18612-1115
Phone (570) 479-8798
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
308 Westwood Office Park
Fredericksburg, VA 22401-5108
Phone (833) 356-4080
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Savida Health, PC | Current | Accepting new patients | |
| Savida Health, PC | Current | Accepting new patients | |
| Savida Health, PC | Past | Accepting new patients | |
| Holon Health, Inc. | Past | Accepting new patients | |
| Pursuecare Pennsylvania PLLC | Family | Past | Accepting new patients |
| Ophelia Medical Group Ny, P.C. | Past | Accepting new patients | |
| Eon Care Services, LLC | Nurse Practitioner | Past | Accepting new patients |
| Pursuecare Connecticut PC | Past | Accepting new patients | |
| Pai Medical WV PLLC | Family | Past | Accepting new patients |
Locations (25 of 37)
3403 Lancaster Pike
Ste 1
Wilmington, DE 19805
12 Dallaire Ave
Chicopee, MA 01020
Phone (413) 333-5608
77 Hospital Ave
Ste 104
North Adams, MA 01247
Phone (413) 398-5180
184 North St
Ste 202
Pittsfield, MA 01201
Phone (413) 236-9100
50 Union St
West Springfield, MA 01089
Phone (413) 732-0040
299 Lincoln St
Ste 301
Worcester, MA 01605
60 Rogers St
#215
Manchester, NH 03103
406 W Main St
#100
Abingdon, VA 24210
Phone (276) 356-0501
2609 Sheffield Dr
Blacksburg, VA 24060
Phone (304) 647-0677
4003 Steelsburg Hwy
Cedar Bluff, VA 24609
Phone (276) 284-2230
160 Courthouse Ln
Clintwood, VA 24228
Phone (276) 926-4031
767 Madison Rd
Ste 107
Culpeper, VA 22701
Phone (540) 850-0858
100 Vicar Pl
Ste C
Danville, VA 24540
308 Westwood Office Park
Fredericksburg, VA 22401
Phone (833) 352-4080
316 Warren Ave
Ste 1
Front Royal, VA 22630
Phone (540) 456-2469
590 Neff Ave
Ste 2500
Harrisonburg, VA 22801
5554 Redbud Hwy
Honaker, VA 24260
Phone (273) 873-6222
700 E Main St
Luray, VA 22835
1 E Market St
Ste C
Martinsville, VA 24112
Phone (276) 656-2185
13136 Riverside Dr
Oakwood, VA 24631
Phone (276) 859-7080
127 Health Care Dr
Ste RC4
Pennington Gap, VA 24277
601 Old Wagner Rd
Petersburg, VA 23805
Phone (804) 722-3330
1510 N 28th St
Ste 101
Richmond, VA 23223
Phone (804) 371-1670
1325 Jamison Ave SE
Roanoke, VA 24013
Phone (540) 339-7302
40 Lambert St
Ste 212
Staunton, VA 24401
Interoperability endpoints
- christine.tucker.1@24804.direct.athenahealth.com
Organizations & group practices 11
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.
-
- Addiction Medicine (Internal Medicine) Physician
- Woodbridge, VA
- NPI 1548739170
-
- Family Medicine Physician
- Glen Allen, VA
- NPI 1194414805
-
- Addiction Medicine (Internal Medicine) Physician
- Gilford, NH
- NPI 1285388546
-
- Nurse Practitioner
- Germantown, MD
- NPI 1508613886
-
- Addiction Medicine (Preventive Medicine) Physician
- Elizabethtown, KY
- NPI 1942902093
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- New York, NY
- NPI 1013528363
-
- Psychiatry Physician
- Middletown, CT
- NPI 1003443185
-
- Addiction Medicine (Internal Medicine) Physician
- W Springfield, MA
- NPI 1316253875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1871046144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 OLD GRANDVIEW AVE",
"city": "DALLAS",
"state": "PA",
"postal_code": "186121115",
"telephone_number": "570-479-8797",
"fax_number": "833-228-5591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 JUSTICE WAY ROOM C0049",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46203",
"telephone_number": "877-465-6650",
"fax_number": "804-294-2775"
}
],
"practiceLocations": [
{
"address_1": "18 Old Grandview Ave",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "PA",
"postal_code": "186121115",
"country_code": "US",
"telephone_number": "570-479-8798",
"fax_number": "833-228-5591",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUCKER",
"first_name": "CHRISTINE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-03",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP016436",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP016436",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.