Deidre P Tukey, MSN

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

AS084058 Issued in ME

Practice address

1012 Union St
Bangor, ME 04401

Phone

(207) 945-5247

Fax

(207) 990-1248

NPI assigned

Sep 23, 2006

Last updated

Jul 13, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1902906662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1599",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044021599",
            "telephone_number": "207-945-5247",
            "fax_number": "207-947-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 UNION ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-945-5247",
            "fax_number": "207-990-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUKEY",
        "first_name": "DEIDRE",
        "middle_name": "P",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "ME",
            "license": "R024915",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "ME",
            "license": "AS084058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432298799",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Janice Trzop-Haiden, PHARMACIST
• Antonios Tsismenakis, MD
• Allison Tsomides, PA-C
• Beth E Tubbs, PT
• Bethany L Tucker, PT, DPT
• Lynna Ann Tupica, LCPC
• Amanda Jean Turcotte, DPT
• Barbara Pita Turcotte, M.D.
• Jeffrey Pelham Turk, LCPC-C, NCC
• James W Turner, M.D.

• Psychiatric/Mental Health Clinical Nurse Specialist in Bangor, ME
• Providers in Bangor, ME by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.