Active NPI
Barbara Ellen Tucker, RD, LD, MED.
- Registered Dietitian
- Marietta, GA
National Provider Identifier
1922052620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 849067
- Practice address
- 1000 Johnson Ferry Rd
BLDG F Suite 120
Marietta, GA 30068-2114 - Phone
- (707) 416-1021
- Fax
- (678) 402-5619
- NPI assigned
- May 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 849067 | CA | Primary |
Addresses
Primary practice location
1000 Johnson Ferry Rd
BLDG F Suite 120
Marietta, GA 30068-2114
Mailing address
1802 Abbey CT
Alpharetta, GA 30004-6017
Phone (707) 416-1021
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)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 849067 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Worksite Wellness Partners | Dietitian, Registered | Current | Accepting new patients |
| Sumner Neurology Associates, PLLC | Past | Accepting new patients |
Locations
1802 Abbey Ct
Alpharetta, GA 30004
Phone (678) 393-8661
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.
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1801926381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609200000000",
"number": "1922052620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 ABBEY CT",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300046017",
"telephone_number": "707-416-1021",
"fax_number": "678-402-5619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 JOHNSON FERRY RD",
"address_2": "BLDG F SUITE 120",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300682114",
"telephone_number": "707-416-1021",
"fax_number": "678-402-5619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "BARBARA",
"middle_name": "ELLEN",
"credential": "RD, LD, MED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "849067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.