Emmanuel Tyree Tucker, EMR

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

25443 Issued in TN

Practice address

255 New Shackle Island Rd
Hendersonville, TN 37075-2349

Phone

(615) 372-9594

NPI assigned

Sep 29, 2023

Last updated

Sep 29, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1952181828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 SUMMERLAKE PL",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753691",
            "telephone_number": "615-767-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 NEW SHACKLE ISLAND RD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752349",
            "telephone_number": "615-372-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "EMMANUEL",
        "middle_name": "TYREE",
        "name_prefix": "Mr.",
        "credential": "EMR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TN",
            "license": "25443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tristar Tennessee Heart and Vascular LLC
• Jacqueline Troche
• Gracie Trosper
• Samantha Christina Scott Troutt, L.M.F.T.
• Komeil True
• Javelin Tucker
• Kara Earthman Tucker
• Melva Alicia Tucker, PHARM D
• Talisha C Tucker, FNP-C
• Madison Rose Tudon

• Emergency Medical Services (Emergency Medicine) Physician in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.