Sarah K Tucci, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.200496 Issued in LA

Practice address

2751 Albert L Bicknell Dr Ste 3D
Shreveport, LA 71103-3941

Phone

(318) 212-6710

Fax

(318) 221-2670

NPI assigned

Oct 18, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sarah K Sledge Former name

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

WK Arklatex Urology and Prostate Cancer InstituteGroup PAC ID 5890862221, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
• Claiborne Memorial Medical Center Hospital, Homer, LA, CCN 190114

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BAJHBA

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.

• WK Arklatex Urology and Prostate Cancer Institute

  • Urology Physician
  • Bossier City, LA
  • NPI 1881857035
  Medicare reassignment Care Compare group
• Rheumatology and Osteoporosis Specialists, AMC

  • Rheumatology Physician
  • Shreveport, LA
  • NPI 1689766271
  Medicare reassignment
• Rheumatology and Osteoporosis Specialists, AMC

  • Pharmacy
  • Shreveport, LA
  • NPI 1477343713
  NPD
• WK North Laparoscopic Surgical Associates

  • Surgery Physician
  • Shreveport, LA
  • NPI 1114367976
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Homer Memorial Hospital

  • General Acute Care Hospital
  • Homer, LA
  • NPI 1831183748
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Bossier City, LA
  • NPI 1003968579
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1124170691
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1275685539
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572
  Care Compare affiliation

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1982989265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 ALBERT L BICKNELL DR STE 3D",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033941",
            "telephone_number": "318-212-6710",
            "fax_number": "318-212-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 ALBERT L BICKNELL DR STE 3D",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033941",
            "telephone_number": "318-212-6710",
            "fax_number": "318-221-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCCI",
        "first_name": "SARAH",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.200496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "SLEDGE",
            "middle_name": "K",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shondolyn Truman
• TSD Kendall & Gengel Shreveport LLC
• Roshanta Franchesca Tubbs, RN
• Daniel Tubongbanua, PT
• Richard A Tubre, PT
• Amanda Kayleigh Tucker
• Angela Tucker, SPEECH THERAPIST
• Elizabeth Tucker, MD
• Ella Y Tucker
• Grafton Latron Tucker Jr.

• Physician Assistant in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.