KELCY TUCKER (NPI# 1376176784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376176784 |
| Entity Type | Individual |
| Full Name | KELCY TUCKER |
| Other Name | KELCY HARTBARGER |
| Credential | APRN, FNP-C |
| Practice Address |
3165 Dayton Xenia Rd Beavercreek OH 45434-6309 |
| Practice Telephone | 4194942715 |
| Mailing Telephone | 4194942715 |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.026324 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3165 DAYTON XENIA RD |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45434-6309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013941723 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 3165 Dayton Xenia Rd, Ste 5, Beavercreek, OH 45434-6309 | 2006-07-10 |
| 1649804014 | Christopher Wise | Pharmacist | 3165 Dayton Xenia Rd, Beavercreek, OH 45434-6309 | 2020-02-25 |
| 1073146601 | Audrey Stultz | Pharmacist | 3165 Dayton Xenia Rd, Beavercreek, OH 45434-6309 | 2020-02-21 |
| 1780146449 | Amber Routt | Nurse Practitioner | 3165 Dayton Xenia Rd, Beavercreek, OH 45434-6309 | 2019-04-02 |
| 1497241335 | Jessica Vencill | Dietitian, Registered | 3165 Dayton Xenia Rd, Beavercreek, OH 45434 | 2018-07-03 |
| 1467970020 | Jordan Jennewine | Dietitian, Registered | 3165 Dayton Xenia Rd, Beavercreek, OH 45434-6309 | 2017-09-05 |
| 1588000830 | The Little Clinic of Ohio LLC | Nurse Practitioner | 3165 Dayton Xenia Rd, Beavercreek, OH 45434 | 2013-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407374218 | Jacen Patrick Millette | Student in an Organized Health Care Education/Training Program | 1441 Red Barn Way, Beavercreek, OH 45434 | 2017-08-31 |
| 1447618079 | Patricia Wathen | Speech-Language Pathologist | 2498 Dayton Xenia Rd., Beavercreek, OH 45434 | 2016-02-10 |
| 1295126027 | Taylor Shears | Behavioral Analyst | 608 Phillips Drive, Beavercreek, OH 45434 | 2015-02-16 |
| 1376943308 | Barbara Cantwell | Speech-Language Pathologist | 2660 Dayton-xenia Rd, Beavercreek High School, Beavercreek, OH 45434 | 2014-08-27 |
| 1396028783 | Shawna M White | Physical Therapist | 3224 Dayton Xenia Road, Suite 120, Beavercreek, OH 45434 | 2011-09-22 |
| 1790063444 | Amy Michelle Williamson | Licensed Practical Nurse | 2111 Beaver Valley Rd., Beavercreek, OH 45434 | 2011-07-29 |
| 1730311333 | Victoria T Strickland | Physical Therapist | 810 Orchard Ln Ste 201, Beavercreek Township, OH 45434 | 2009-08-14 |
| 1487892964 | Emily Elizabeth Hendrickson | Nurse Practitioner | 3140 Dayton Xenia Road, Suite C, Beavercreek, OH 45434 | 2009-01-22 |
| 1326237066 | Linda M. Rauch | Counselor | 3095 Dayton-xenia Rd., Suite 600, Beavercreek, OH 45434 | 2007-10-18 |
| 1942413919 | John Edward Seeley | Specialist/Technologist | 2621 Patrick Henry Drive, Beavercreek, OH 45434 | 2007-05-07 |
| Find all providers in zip 45434 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786757 | Philip James Spicer | Nurse Practitioner | 1896 Amys Ridge Ct, Beavercreek, OH 45434-7192 | 2020-10-02 |
| 1013533553 | Kimberly Wade Young | Nurse Practitioner | 2936 Idaho Falls Dr, Beavercreek, OH 45431-5607 | 2020-06-21 |
| 1134695000 | Laura Busteed | Nurse Practitioner | 3535 Pentagon Blvd Ste 320, Beavercreek, OH 45431-1705 | 2018-10-18 |
| 1174041149 | Yolonda M Kelly | Nurse Practitioner | 2510 Commons Blvd. Suite 160, Beavercreek, OH 45431-3834 | 2017-08-30 |
| 1649717786 | Jarrell Healthcare LLC | Nurse Practitioner | 2621 Hibiscus Way, #125, Beavercreek, OH 45431-2776 | 2017-01-27 |
| 1477098705 | Sharon Rodgers | Nurse Practitioner | 2510 Commons Blvd Ste 220, Beavercreek, OH 45431-3821 | 2016-12-22 |
| 1528429750 | Melissa Alcazar | Nurse Practitioner | 3535 Pentagon Park Blvd, Suite 400, Beavercreek, OH 45431-1705 | 2016-03-16 |
| 1760593107 | Nina Rose Keegan | Nurse Practitioner | 1331 N Fairfield Rd, Beavercreek, OH 45432-2643 | 2006-08-31 |
| 1306450176 | Jenna Mcconnell | Nurse Practitioner | 2510 Commons Blvd Ste 210, Beavercreek, OH 45431-3821 | 2020-08-31 |
| 1023650165 | Carrie Steward | Nurse Practitioner | 2605 Greenbrier Ct, Beavercreek, OH 45431-8564 | 2019-10-10 |
| Find all providers in BEAVERCREEK | ||||
| City | BEAVERCREEK |
| Zip Code | 45434 |
Please comment or provide details below to improve the information on KELCY TUCKER.
| 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.