Individual provider Active NPI

Stephanie A Tucker, NP

  • Women's Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1881165066
Registry record updated Oct 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN.CNP.0028557 Issued in OH
Practice address
206 E State St
Columbus, OH 43215-4311
Phone
(216) 535-9100
NPI assigned
Dec 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.446594 OH
Women's Health Nurse Practitioner 363LW0102X APRN.CNP.0028557 OH Primary

Addresses

Primary practice location

206 E State St
Columbus, OH 43215-4311

Mailing address

206 E State St
Columbus, OH 43215-4311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230217002341 OH Practitioner - Nurse Practitioner 0345612495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Planned Parenthood of Greater OhioGroup PAC ID 4688563448, 17 clinicians

Practice addresses (Care Compare)

7997 Euclid Ave
Cleveland, OH 44103-4226
Phone (216) 851-1880

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.446594OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Greater Ohio Women'S Health Current Accepting new patients
Planned Parenthood of Greater Ohio CurrentSince Feb 1, 2023 Accepting new patients

Locations

444 W Exchange St
Akron, OH 44302
Phone (330) 535-2671

416 W Union St
Athens, OH 45701
Phone (740) 594-2271

25350 Rockside Rd
Ste 200
Bedford, OH 44146

2663 Cleveland Ave NW
Canton, OH 44709
Phone (330) 456-5329

7997 Euclid Ave
Cleveland, OH 44103
Phone (216) 789-7958

25350 Rockside Rd
Ste 100
Cleveland, OH 44146
Phone (216) 961-8804

2186 Brookpark Rd
Cleveland, OH 44134
Phone (216) 661-0400

25350 Rockside Rd
Ste 300
Cleveland, OH 44146

1511 W Broad St
Columbus, OH 43222
Phone (614) 222-2352

18 E 17th Ave
Columbus, OH 43201
Phone (614) 222-3604

3255 E Main St
Columbus, OH 43213
Phone (614) 222-3531

138 E Main St
Ste 202
Kent, OH 44240
Phone (330) 678-8011

384 Park Ave W
Mansfield, OH 44906
Phone (419) 525-3080

21016 Center Ridge Rd
Rocky River, OH 44116
Phone (440) 331-8744

1301 Jefferson Ave
Toledo, OH 43604
Phone (419) 255-1115

77 E Midlothian Blvd
Youngstown, OH 44507
Phone (330) 788-2487

Interoperability endpoints

  • Direct secure messaging: stephanie.tucker.p3@direct.ppncsnj.nextgenshare.com

Organizations & group practices 2

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": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729296000000",
    "number": "1881165066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E STATE ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E STATE ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154311",
            "telephone_number": "216-535-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2024-10-19",
        "certification_date": "2024-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.446594",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "APRN.CNP.0028557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.