Individual provider Active NPI

Judith Lynn Corrado Tucker, APRN

  • Nurse Practitioner
  • Newport, KY
National Provider Identifier
1881184067
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3012260 Issued in KY
Practice address
58 Carothers Rd
Newport, KY 41071-2416
Phone
(513) 240-2985
Fax
(513) 938-8180
NPI assigned
May 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3012260 KY Primary
Nurse Practitioner 363L00000X APRN.CNP.022476 OH

Addresses

Primary practice location

58 Carothers Rd
Newport, KY 41071-2416

Mailing address

175 Remington Dr
Bardstown, KY 40004-2268
Phone (513) 240-2985

Other practice location 1

319 S Ashland Ave Ste B
Lexington, KY 40502-1729
Phone (859) 415-9011

Other names 1

  • Judith Lynn Corrado Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3012260KYMDNurse Practitioner
APRN.CNP.022476OHMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1881184067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 REMINGTON DR",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042268",
            "telephone_number": "513-240-2985",
            "fax_number": "513-938-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 CAROTHERS RD",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410712416",
            "telephone_number": "513-240-2985",
            "fax_number": "513-938-8180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 S Ashland Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405021729",
            "country_code": "US",
            "telephone_number": "859-415-9011",
            "fax_number": "513-938-8180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "JUDITH",
        "middle_name": "LYNN CORRADO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3012260",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.022476",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "CORRADO",
            "middle_name": "LYNN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.