MARY K. TUCKER (NPI# 1306297072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306297072 |
| Entity Type | Individual |
| Full Name | MARY K. TUCKER |
| Credential | MMS, PA-C |
| Practice Address |
477 N El Camino Real Encinitas CA 92024 |
| Mailing Address |
10790 Rancho Bernardo Rd Mail Drop 4s-205 San Diego CA 92127-5705 |
| Practice Telephone | 7604793900 |
| Mailing Telephone | 7604793900 |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2018-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA53671 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 0010-06518 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114537180 | Mary Tucker | Technician | 361 Riffes Br, Rhodell, WV 25915-9102 | 2020-08-05 |
| 1851812846 | Mary Beth Tucker | Speech-Language Pathologist | 141 Dalton St, Shreveport, LA 71106-7401 | 2017-06-29 |
| 1790163814 | Mary Elizabeth Tucker | Physician Assistant | 1500 S 48th St., Suite 800, Lincoln, NE 68506-1200 | 2015-05-08 |
| 1275971236 | Mary Elizabeth Tucker | Social Worker | 3265 Wilmington Rd, Montgomery, AL 36105-1824 | 2013-06-11 |
| 1093054710 | Mary L Tucker | Counselor | 1601 Banning Beach Rd, Tavares, FL 32778-2024 | 2013-02-01 |
| 1881954493 | Mary Jean Tucker | Registered Nurse | 50 S Brookside Ave, Freeport, NY 11520-3144 | 2012-05-17 |
| 1356618771 | Mary H Tucker | Physical Therapist | 4911 Stelton Rd Ste 3, South Plainfield, NJ 07080-1113 | 2011-11-30 |
| 1942534532 | Mary Sue Tucker | Licensed Practical Nurse | 1186 Truxell Drive, Mansfield, OH 44906 | 2009-09-29 |
| 1487813028 | Mary Catherine Tucker | Counselor | 1511 College of Education, Indiana State University, Terre Haute, IN 47809-0001 | 2008-06-09 |
| 1821206889 | Mary Margaret Tucker | Mechanotherapist | 3001 Mallard Dr, Deltona, FL 32738-8939 | 2007-05-21 |
| Street Address |
477 N EL CAMINO REAL |
| City | ENCINITAS |
| State | CA |
| Zip Code | 92024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770581183 | North County Radiation Oncology | Specialist | 477 N El Camino Real, Ste D100, Encinitas, CA 92024-1328 | 2005-07-09 |
| 1184238933 | Epilepsy Rheumatology and Arthritis Specialty Wellness Center PC | Psychiatry & Neurology | 477 N El Camino Real, Ste C208, Encinitas, CA 92024-1332 | 2020-08-31 |
| 1790253631 | Lacy Lofties | Nurse Practitioner | 477 N El Camino Real, Encinitas, CA 92024-1328 | 2018-11-08 |
| 1194243212 | Stephen Andrew Rivera | Physician Assistant | 477 N El Camino Real, Encinitas, CA 92024-1328 | 2017-09-08 |
| 1922539865 | Michael Dennis Hadley | Family Medicine | 477 N El Camino Real, Encinitas, CA 92024-1328 | 2017-03-22 |
| 1922553908 | Shannon D Stadelmann | Nurse Practitioner | 477 N El Camino Real, Suite 208a, Encinitas, CA 92024-1328 | 2016-08-19 |
| 1174077507 | Cortney Franz | Nurse Practitioner | 477 N El Camino Real, Suite D200, Encinitas, CA 92024-1328 | 2016-08-15 |
| 1093163032 | Jennifer Price | Physician Assistant | 477 N El Camino Real, Suite A202, Encinitas, CA 92024-1328 | 2016-05-31 |
| 1124485784 | San Diego Eyelid Specialists, Inc. | Ophthalmology | 477 N El Camino Real, A304, Encinitas, CA 92024-1328 | 2016-01-26 |
| 1770953960 | Regents of The University of Ca | Clinic/Center | 477 N El Camino Real, Suite A306, Encinitas, CA 92024-1328 | 2015-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
| 1871064279 | Elana Miller | Physical Therapist | 285 N El Camino Real Ste 202, Encinitas, CA 92024 | 2018-12-10 |
| 1811478654 | Aton Center, Inc. | Substance Abuse Rehabilitation Facility | 3238 Country Rose Cir, Encinitas, CA 92024 | 2018-08-28 |
| 1124508296 | Hardison Medical Corporation | Family Medicine | 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 | 2018-08-18 |
| 1326544990 | Jamin Sarah Sylvada | Midwife | 1141 Balour Drive, Encinitas, CA 92024 | 2018-04-03 |
| 1457856445 | Stephanie Yarnell | Optometrist | 385 Via Montanosa, Encinitas, CA 92024 | 2018-03-29 |
| 1972002954 | J Schaefer Dds Inc | Clinic/Center | 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 | 2018-02-06 |
| 1538691654 | Dr. James C. Lajevic D.m.d. Correct Choice Dental | Point of Service | 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 | 2017-03-29 |
| 1649720566 | Marcia A. Rebelo | Social Worker | 187 Calle Magdalena Ste 114, Encinitas, CA 92024 | 2016-10-04 |
| 1346698529 | Jordan Anne Pinozek | Optometrist | 1044b N El Camino Real, Encinitas, CA 92024 | 2016-05-29 |
| Find all providers in zip 92024 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306349352 | Sarah Victoria Alamillo | Physician Assistant | 477 N El Camino Real Ste B303, Encinitas, CA 92024-1331 | 2018-03-16 |
| 1366899726 | Tyler James Ryan | Physician Assistant | 490 Hillcrest Dr, Encinitas, CA 92024-1529 | 2016-05-16 |
| 1437454634 | Ashley Dominique | Physician Assistant | 700 Garden View Ct Ste 100, Encinitas, CA 92024-2478 | 2011-01-19 |
| 1205922887 | Margaret A. Diliberto | Physician Assistant | 310 Santa Fe Drive, Encinitas, CA 92024 | 2006-10-04 |
| 1225053028 | Benjamin Ryan Luman | Physician Assistant | 724 Orpheus Ave, Encinitas, CA 92024-2155 | 2006-07-13 |
| 1740819200 | John David Hosley | Physician Assistant | 561 Saxony Pl Ste 101, Encinitas, CA 92024-7700 | 2020-04-06 |
| 1306489570 | Elena Rosa Ramos | Physician Assistant | 332 Santa Fe Dr Ste 110, Encinitas, CA 92024-5143 | 2019-10-21 |
| 1609432665 | Christine Kelly Wong | Physician Assistant | 345 Saxony Rd Ste 105, Encinitas, CA 92024-2787 | 2019-05-15 |
| 1194243212 | Stephen Andrew Rivera | Physician Assistant | 477 N El Camino Real, Encinitas, CA 92024-1328 | 2017-09-08 |
| 1154850634 | Joseph Ernest Roberts | Physician Assistant | 354 Santa Fe Dr, Encinitas, CA 92024 | 2017-06-08 |
| Find all providers in ENCINITAS | ||||
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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.