MR. KENNETH WAYNE TUCKER (NPI# 1114280997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114280997 |
| Entity Type | Individual |
| Full Name | MR. KENNETH WAYNE TUCKER |
| Credential | RN |
| Practice Address |
405 E Georgia Ave Ruston LA 71270-3926 |
| Mailing Address |
802 Marion Hwy Farmerville LA 71241-9215 |
| Practice Telephone | 3182514120 |
| Practice Fax Number | 3182514181 |
| Mailing Telephone | 3183687283 |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN106423 | LA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346518537 | Kenneth Richard Tucker | Plastic Surgery | 22843 Tranquility Pl Ne, Kingston, WA 98346-8241 | 2011-12-02 |
| 1861402596 | Kenneth S Tucker | Counselor | 1956 Ne 5th Ave, Suite 7, Boca Raton, FL 33431-7772 | 2006-08-08 |
| 1346294204 | Kenneth B Tucker | Internal Medicine | 1118 Ross Clark Cir, Suite 100, Dothan, AL 36301-3001 | 2006-05-22 |
| 1225006430 | Kenneth A Tucker | Physical Therapist | 711 D St, #102, San Rafael, CA 94901-3707 | 2006-03-14 |
| 1669479846 | Kenneth Tucker | Internal Medicine | 11900 E 12 Mile Rd, Suite 300, Warren, MI 48093-3400 | 2005-07-05 |
| Street Address |
405 E GEORGIA AVE |
| City | RUSTON |
| State | LA |
| Zip Code | 71270-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417219668 | Shana Smith | Registered Nurse | 405 E Georgia Ave, Ruston, LA 71270-3926 | 2012-06-13 |
| 1154684090 | Bertha Lanell Thompson Washington | Registered Nurse | 405 E Georgia Ave, Ruston, LA 71270-3926 | 2012-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821315 | Olivia Mason | Marriage & Family Therapist | 413 North Homer Street, Ruston, LA 71270 | 2020-11-04 |
| 1972146132 | Razz Addiction and Recovery, LLC | Family Medicine | 570 Heard Rd, Ruston, LA 71270 | 2019-10-21 |
| 1518435999 | Tenia Holloway | Case Manager/Care Coordinator | 612 Henderson St., F12, Ruston, LA 71270 | 2018-11-05 |
| 1245708718 | A Plus Medical of Ruston LLC | Family Medicine | 612 S Farmerville Street, Ruston, LA 71270 | 2018-11-02 |
| 1255808085 | Amanda M Clark | Specialist/Technologist | 2301 Timberline Ct Apt F105, Ruston, LA 71270 | 2018-10-30 |
| 1912473752 | Lincoln Nova Vital Recovery | Counselor | 4396 Hwy, 80, 617 South Trention, Ruston, LA 71270 | 2018-10-19 |
| 1861975237 | Wymeka Andrea Breaux | Case Manager/Care Coordinator | 705 Martin Luther King Dr., Ruston, LA 71270 | 2018-09-12 |
| 1790292001 | Louquyhanta Foster | Case Manager/Care Coordinator | 593 Belton Rd, Ruston, LA 71270 | 2018-01-08 |
| 1609391010 | Chemia Herron | Counselor | 775 S Bonner, Ruston, LA 71270 | 2017-08-07 |
| 1477083517 | Arnesha Beard | Counselor | 775 South Bonner, Ruston, LA 71270 | 2017-06-12 |
| Find all providers in zip 71270 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417219668 | Shana Smith | Registered Nurse | 405 E Georgia Ave, Ruston, LA 71270-3926 | 2012-06-13 |
| 1154684090 | Bertha Lanell Thompson Washington | Registered Nurse | 405 E Georgia Ave, Ruston, LA 71270-3926 | 2012-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922665595 | Bridget L Bordelon | Registered Nurse | 657 Government St, Marksville, LA 71351-2945 | 2019-05-20 |
| 1386114957 | Trenai' Augusta Lewis | Registered Nurse | Use 3100 General Degaulle, New Orleans, LA 70114 | 2018-11-27 |
| 1427566629 | Kristy Lee | Registered Nurse | 1006 Stephen St, Scott, LA 70583-5634 | 2018-01-22 |
| 1053824409 | Mary Melissa Gates | Registered Nurse | 5604 Coliseum Blvd Ste A, Alexandria, LA 71303-3993 | 2017-11-08 |
| 1437553807 | Cheryl Smith | Registered Nurse | 330 West Oak, Amite, LA 70422 | 2014-10-14 |
| 1548683873 | Bonnie Aycock | Registered Nurse | 3706 Main St, Belle Chasse, LA 70037-3002 | 2014-01-22 |
| 1447691969 | Maria T Abudiab | Registered Nurse | 107 Recreation Center Lane, Cameron, LA 70631 | 2013-07-12 |
| 1073958237 | Alyce Braud Gilmore | Registered Nurse | 107 Recreation Center Drive, Cameron, LA 70631-1430 | 2013-05-01 |
| 1801132279 | Keela Marie Hawkins | Registered Nurse | 3616 S. I-10 Service Rd, Metairie, LA 70058 | 2012-12-12 |
| 1861755167 | Frances Rose Strickland | Registered Nurse | 1230 W, La. Ave, Many, LA 71449 | 2012-06-21 |
| 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.