REBECCA SUE TUCKER


Address: 2340 Spring Forest Rd, Minute Clinic, Raleigh, NC 27615-7528
Phone: 8663892727

REBECCA SUE TUCKER (NPI# 1366786386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366786386
Entity Type Individual
Full Name REBECCA SUE TUCKER
Other Name REBECCA SUE PEDROZA
Credential P.A.
Practice Address 2340 Spring Forest Rd
Minute Clinic
Raleigh
NC 27615-7528
Mailing Address 4528 Aviemore Cres
Raleigh
NC 27604-4774
Practice Telephone 8663892727
Mailing Telephone 7025750908
Enumeration Date 2012-11-15
Last Update Date 2017-04-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 0010-05389 NC Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
22559 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC TAX ID 20-3555819 01

Other Providers REBECCA TUCKER

NPI Name Taxonomy Address Enumeration
1457838625 Rebecca Tucker Peer Specialist 13110 Tyler Ave, Cleveland, OH 44111-5122 2018-07-20
1891091575 Rebecca Tucker Nurse Practitioner 610 Elmwood Ave, Rochester, NY 14642 2011-01-28
1548574130 Rebecca Ellen Tucker Speech-Language Pathologist 1439 East Ave, Apt 7g, Bronx, NY 10462-7525 2010-08-06
1689159717 Rebecca Tucker Speech-Language Pathologist 510 S Jackson St, Tullahoma, TN 37388-3468 2018-09-25
1922506757 Rebecca Hollis Tucker Social Worker 1055 Clermont St, Denver, CO 80220-3808 2018-01-26
1023254398 Rebecca Jane Tucker Nurse Practitioner 601 Childrens Ln, Fourth Floor, Norfolk, VA 23507-1910 2008-12-17
1770601965 Rebecca J. Tucker Social Worker 125 N Broadway, 2h, Turlock, CA 95380-4811 2007-03-26
1154327666 Rebecca E Tucker Physical Therapist 1305 National Rd, Wheeling, WV 26003-5705 2005-06-21

Office Location

Street Address 2340 SPRING FOREST RD
MINUTE CLINIC
City RALEIGH
State NC
Zip Code 27615-7528

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275585168 Lynn Gordon Eckert Physician Assistant 2340 Spring Forest Rd, Raleigh, NC 27615-7528 2006-05-17
1235745332 John Craig Sommerville Pharmacy 2340 Spring Forest Rd, Raleigh, NC 27615-7528 2020-09-23
1114537511 Sarah Baker Nurse Practitioner 2340 Spring Forest Rd, Raleigh, NC 27615-7528 2020-07-31
1881215630 Jason L Blaser Pharmacist 2340 Spring Forest Rd, Raleigh, NC 27615-7528 2020-05-04
1740810977 Nicholas Ryan Kubaska Pharmacist 2340 Spring Forest Rd, Raleigh, NC 27615-7528 2020-01-15
1962978973 Kathryn Jeanne Steinheber Nurse Practitioner 2340 Spring Forest Rd, Raleigh, NC 27615-7528 2018-10-17
1902382088 Melisa Dyan Rubin Pharmacist 2340 Spring Forest Rd, Raleigh, NC 27615-7528 2018-07-12
1558720938 Erin Mcconahy Physician Assistant 2340 Spring Forest Rd, Raleigh, NC 27615-7528 2016-02-15
1811362262 Molly Beckmann Physician Assistant 2340 Spring Forest Rd, Raleigh, NC 27615 2015-12-10
1164771937 Ashley Simmons Pharmacist 2340 Spring Forest Rd, Raleigh, NC 27615-7528 2012-09-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588278535 Emily Grace Johnson Behavior Technician 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 2020-09-06
1730706110 Maja V Martin, Dds, Pa1 Clinic/Center 7371 Six Forks Road, Raleigh, NC 27615 2020-07-01
1972146967 Atlantic Avenue Pharmaceutical, Inc Pharmacy 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 2019-10-22
1023503950 Siyara Shannay Dobbs Social Worker 7013 Woodbend Dr Apt H, Raleigh, NC 27615 2018-06-23
1194210153 Brittanie Ja'nell Harris Dentist 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 2018-06-22
1710489448 Sherise Swensen Social Worker 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 2018-03-08
1881100345 Casey Paul Baine Counselor 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 2017-12-20
1588177885 Michael Lacidonia Acupuncturist 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 2017-11-08
1457877631 Matt Henderson Behavioral Analyst 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 2017-08-18
1760907646 Shakeda Muldrow Social Worker 7323 Brookbank Lane, Raleigh, NC 27615 2017-08-11
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457961682 Megan Kathleen Brown Physician Assistant 3024 New Bern Ave Ste 102, Raleigh, NC 27610-1247 2020-08-03
1124640651 Kayla Marie Sincock Physician Assistant 12205 Harcourt Dr, Raleigh, NC 27613-5603 2020-05-06
1093340531 Hannah Stanifer Physician Assistant 510 N Wilmington St Apt 227, Raleigh, NC 27604-8021 2020-03-05
1962035642 Brianna Stolz Physician Assistant 3811 Ed Dr Ste 110, Raleigh, NC 27612-2393 2020-02-20
1316577737 Jacey Elizabeth Byers Physician Assistant 700 Hawes Ct Apt C, Raleigh, NC 27608-1745 2020-01-24
1033756598 Julie A Romeis Physician Assistant 1929 N Hills Dr Unit G, Raleigh, NC 27612-4022 2019-12-04
1346886769 Pooja Parmar Physician Assistant 8804 Bluff Pointe Ct, Raleigh, NC 27615-4172 2019-11-20
1649829557 Bryan Edwards Physician Assistant 4551 New Bern Ave Ste A100, Raleigh, NC 27610-1551 2019-09-04
1790343192 Savanah Palen Mullen Physician Assistant 10208 Cerny St Ste 204, Raleigh, NC 27617-7885 2019-05-31
1356906184 Andrew Paul Apicella Physician Assistant 3024 New Bern Ave Ste 302, Raleigh, NC 27610-1247 2019-05-07
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Competitor

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City RALEIGH
Zip Code 27615

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Dataset Information

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.

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