Carol Ida Tucker

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN495914 Issued in CA

Practice address

7171 Bowling Dr
Suite 800
Sacramento, CA 95823-2034

Phone

(916) 875-5000

NPI assigned

Aug 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1871785352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001A EAST PKWY",
            "address_2": "SUITE 600",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232501",
            "telephone_number": "916-875-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 BOWLING DR",
            "address_2": "SUITE 800",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232034",
            "telephone_number": "916-875-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "CAROL",
        "middle_name": "IDA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN495914",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "50836",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Tuazon, NP
• Kendy Kayte Tuazon
• Timothy Tubra, PTA
• Robin Earl Tuck
• Brandi Michelle Tucker
• J'Quaysha Tucker, LMFT
• Jaime Tucker, RD
• Jasmine Tucker, LVN
• Jennifer Helen Tucker, MS
• Judy Tucker

• Registered Nurse in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.