Gloria Tinsley Mucker

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

6923 Issued in KY

Practice address

1436 S Shelby St
Louisville, KY 40217-1107

Phone

(502) 635-4533

NPI assigned

May 29, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Gloria Annette Tinsley Former name

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": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1881006450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 S SHELBY ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171107",
            "telephone_number": "502-635-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 S SHELBY ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171107",
            "telephone_number": "502-635-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCKER",
        "first_name": "GLORIA",
        "middle_name": "TINSLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "KY",
            "license": "6923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "TINSLEY",
            "middle_name": "ANNETTE",
            "credential": "CSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ketia Mpovila Mbiyavanga
• Mt. Holly Leasing, LLC
• Mt. Lebanon Personal Care Home Inc.
• Heather J Mucci, ARNP
• Ada W Mucker, MSSW CSW ACSW
• Kia Mucker, LCSW
• Abigail Justine Mudd, RD
• Alexis Mudd, LCSW
• Amy Mudd
• Ann Beth Mudd, DMD

• Substance Abuse Rehabilitation Facility in Louisville, KY
• Providers in Louisville, KY by specialty
• Substance Abuse Rehabilitation Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.