Pamela D Tucker, RN

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

600 Trent Street
Princeton, WV 24740

Phone

(304) 425-7111

Fax

(304) 425-1138

NPI assigned

Oct 2, 2020

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 identifiers 2

Other names 1

• Pamela D Tucker Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

Practice roles

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.

• Community Action of Southeastern West Virginia

  • In Home Supportive Care Agency
  • Bluefield, WV
  • NPI 1568796027
  NPD (past)

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1902403009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 BLUEFIELD AVE",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247012883",
            "telephone_number": "304-425-7111",
            "fax_number": "304-425-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 TRENT STREET",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "24740",
            "telephone_number": "304-425-7111",
            "fax_number": "304-425-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "PAMELA",
        "middle_name": "D",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568796027",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55-6025355",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "TUCKER",
            "middle_name": "D",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• April Grace Triplett
• Brett Trost
• Michael Trost
• TT&M Holdings PC
• Lori Tucker, DO
• Tug River Health Association, Inc
• Mary Turpin
• Austin Tyree
• Lila Kay Underwood
• Peyton Lanae Underwood

• Homemaker in Princeton, WV
• Providers in Princeton, WV by specialty
• Homemaker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.