Karl Tucker, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

7327288-4405 Issued in UT

Practice address

250 N Orem Blvd
Orem, UT 84057-6601

Phone

(801) 609-2448

Fax

(801) 609-2447

NPI assigned

Jun 18, 2018

Last updated

Mar 23, 2023By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Numinus Wellness Ut Inc

  • Psychiatry Physician
  • Springville, UT
  • NPI 1265092282
  Medicare reassignment NPD
• Ascent Mental Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Payson, UT
  • NPI 1912636374
  NPD Authorized official
• Ogden Internal Medicine & Urology LLC

  • Internal Medicine Physician
  • Ogden, UT
  • NPI 1003001553
  NPD (past)

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1932693587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 S 1040 W # 3B",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846514614",
            "telephone_number": "801-609-2448",
            "fax_number": "801-609-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N OREM BLVD",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840576601",
            "telephone_number": "801-609-2448",
            "fax_number": "801-609-2447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "822 S 1040 W",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "UT",
            "postal_code": "846514614",
            "country_code": "US",
            "telephone_number": "801-609-2448",
            "fax_number": "801-609-2447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "KARL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "7327288-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3007365",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Trusted Transportation
• Samantha S Tschappat
• Ming Yu Tsou
• Pursonna Tuiletufuga
• Brian Tullis
• Jennifer Kay Turley
• Brightyn Lee Turner
• Michael Allen Turner, CRNA

• Psychiatric/Mental Health Nurse Practitioner in Orem, UT
• Providers in Orem, UT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.