Individual provider Active NPI

Patricia B Tucker Hoover, RN

  • Psychiatric/Mental Health Registered Nurse
  • Mountain Center, CA
National Provider Identifier
1902044092
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
484517 Issued in CA
Practice address
68600 Materhorn VW
Mountain Center, CA 92561-3618
Phone
(760) 861-3940
NPI assigned
Jan 27, 2009
Last updated
Jan 27, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 484517 CA Primary

Addresses

Primary practice location

68600 Materhorn VW
Mountain Center, CA 92561-3618

Mailing address

68600 Materhorn VW
Mountain Center, CA 92561-3618
Phone (760) 861-3940

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
484517CAMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1902044092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68600 MATERHORN VW",
            "city": "MOUNTAIN CENTER",
            "state": "CA",
            "postal_code": "925613618",
            "telephone_number": "760-861-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68600 MATERHORN VW",
            "city": "MOUNTAIN CENTER",
            "state": "CA",
            "postal_code": "925613618",
            "telephone_number": "760-861-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER HOOVER",
        "first_name": "PATRICIA",
        "middle_name": "B",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "484517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Center, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.