Active NPI
Michelle Agnes Tucker, L.AC., ND, C.H.
- Acupuncturist
- Mars, PA
National Provider Identifier
1982885778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- OM000115
- Practice address
- 103 Fox Trot Dr
Mars, PA 16046-2307 - Phone
- (412) 926-8019
- Fax
- (724) 553-5159
- NPI assigned
- Nov 20, 2007
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | OM000115 | PA | Primary |
Addresses
Primary practice location
103 Fox Trot Dr
Mars, PA 16046-2307
Mailing address
103 Fox Trot Dr
Mars, PA 16046-2307
Phone (412) 926-8019
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OM000115 | PA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642464000000",
"number": "1982885778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 FOX TROT DR",
"city": "MARS",
"state": "PA",
"postal_code": "160462307",
"telephone_number": "412-926-8019",
"fax_number": "724-553-5159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 FOX TROT DR",
"city": "MARS",
"state": "PA",
"postal_code": "160462307",
"telephone_number": "412-926-8019",
"fax_number": "724-553-5159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "MICHELLE",
"middle_name": "AGNES",
"name_prefix": "Dr.",
"credential": "L.AC., ND, C.H.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-20",
"last_updated": "2022-01-18",
"certification_date": "2022-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "PA",
"license": "OM000115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mars, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.