JENNIFER E TUCKER (NPI# 1114038148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114038148 |
| Entity Type | Individual |
| Full Name | JENNIFER E TUCKER |
| Credential | MD |
| Practice Address |
1120 15th St Augusta GA 30912-0004 |
| Mailing Address |
1499 Walton Way Ste 1400 Augusta GA 30901-2602 |
| Practice Telephone | 7067214951 |
| Practice Fax Number | 7067217941 |
| Mailing Telephone | 7067214951 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
056233 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | T67371 | 05 | |
| GA | 799568087A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093335010 | Jennifer Ann Tucker | Case Manager/Care Coordinator | 7913 Nw 28th Ter, Bethany, OK 73008-4465 | 2020-04-20 |
| 1811554280 | Jennifer J Tucker | Counselor | 502 Main St W Ste 306, Ashland, WI 54806-1579 | 2019-05-21 |
| 1376883488 | Jennifer Dyann Tucker | Registered Nurse | 2650 Nw Princess St, Corvallis, OR 97330-3219 | 2013-02-26 |
| 1891092789 | Jennifer Lee Tucker | Licensed Practical Nurse | 23059 State Route 206, Warsaw, OH 43844-9487 | 2011-02-11 |
| 1699334490 | Jennifer Leigh Tucker | Social Worker | 407 East Third Street, Duluth, MN 55805-1950 | 2019-06-06 |
| 1528542354 | Jennifer Lynn Tucker | Nurse Practitioner | 1000 Old Denbigh Blvd Ste 1020a, Newport News, VA 23602-2017 | 2018-09-18 |
| 1942715669 | Jennifer Lynn Tucker | Counselor | 447 W Bearcat Dr, Salt Lake City, UT 84115-2519 | 2017-12-04 |
| 1225573538 | Jennifer Leigh Tucker | Counselor | 7109 Fm 2920 Rd Ste 600, Spring, TX 77379-2218 | 2016-12-21 |
| 1760831762 | Jennifer Sue Tucker | Social Worker | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2016-06-09 |
| 1063881068 | Jennifer Tucker | Nurse Practitioner | 620 Skyline Dr, Jackson, TN 38301-3923 | 2015-09-20 |
| Street Address |
1120 15TH ST |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912-0004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051556 | Gyanendra Kumar Sharma | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2005-05-23 |
| 1912508532 | Lacey Nichol Preston | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-11-02 |
| 1992302988 | Victoria Mae Pregibon | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-03 |
| 1275130239 | Tanya Renee Hall | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-02 |
| 1144847864 | Cassandra Marie Voong | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-29 |
| 1245857002 | Morgan Rowe | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-28 |
| 1639795990 | Lauren Christine Bush | Audiologist | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-23 |
| 1811513575 | Ashley Danielle Fox | Internal Medicine | 1120 15th St, Augusta, GA 30912-0006 | 2020-06-18 |
| 1265058994 | Matthew Craddock | Psychiatry & Neurology | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-18 |
| 1437775301 | Joseph John Arellano | Emergency Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
| Find all providers in zip 30912 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356757660 | Danielle Baskin Sutton | Pediatrics | 1120 15th St, Augusta, GA 30912-5812 | 2014-07-08 |
| 1942303961 | Lynne W. Coule | Pediatrics | 1120 15th St, Augusta, GA 30912-0004 | 2006-09-06 |
| 1598876385 | James A Wilde | Pediatrics | 1120 15th St, Augusta, GA 30912-0004 | 2006-08-31 |
| 1841309804 | Larry B. Mellick | Pediatrics | 1120 15th St, Augusta, GA 30912-0004 | 2006-08-30 |
| 1053420257 | Mark D. Lopez | Pediatrics | 1120 15th St, Augusta, GA 30912-0004 | 2006-08-30 |
| 1013026921 | Lorna E Bell | Pediatrics | 1120 15th St, Augusta, GA 30912-0004 | 2006-08-30 |
| 1861501314 | Natalie E. Lane | Pediatrics | 1120 15th St, Augusta, GA 30912-0004 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346427424 | Mark J Ward | Pediatrics | 1680 Tullie Cir Ne, Atlanta, GA 30329-2321 | 2008-01-30 |
| 1508937863 | Jeffrey F Linzer Sr. | Pediatrics | Childrens Healthcare of Atlanta At Egleston, 1405 Clifton Road Ne, Atlanta, GA 30322-1062 | 2006-11-10 |
| 1801834924 | Amit Pundalik Sarnaik | Pediatrics | 1001, Johnson Ferry Road, Childrens Healthcare of Atlanta At Scottish Rite, Atlanta, GA 30342 | 2006-06-02 |
| 1881642866 | Nikita C Rangwalla | Pediatrics | 1001 Johnson Ferry Road Ne, Atlanta, GA 30342 | 2006-05-04 |
| 1437680956 | Robert M Grell | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-8111 | 2017-03-26 |
| 1174054837 | Brent Michael Troy | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-3818 | 2017-03-24 |
| 1174926562 | Gagandeep Kaur Kooner | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322 | 2014-09-30 |
| 1205253390 | Morgan Sparks Martin | Pediatrics | 1364 Clifton Rd Ne, Atlanta, GA 30322-2360 | 2014-03-26 |
| 1982846424 | Sarah Gard Lazarus | Pediatrics | 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 | 2009-03-30 |
| 1255586004 | Pediatric Emergency Medicine Associates LLC | Pediatrics | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2008-11-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.