KELLIE TUCKER (NPI# 1407222078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407222078 |
| Entity Type | Individual |
| Full Name | KELLIE TUCKER |
| Practice Address |
46950 Community Plz Ste 211 Sterling VA 20164-1814 |
| Practice Telephone | 7036650754 |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0701006242 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851541593 | Kellie Renee' Tucker | Physician Assistant | 901 N Waldron St., Arcadia, FL 34266-5011 | 2008-09-30 |
| Street Address |
46950 COMMUNITY PLZ STE 211 |
| City | STERLING |
| State | VA |
| Zip Code | 20164-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255962239 | Ying Jiu Liu | Acupuncturist | 45665 W Church Rd #110 Stering, Stering, VA 20164 | 2020-01-29 |
| 1417599986 | Nab Homecare, Inc. | In Home Supportive Care | 45640 Willow Pond Plaza, Suite 100, Sterling, VA 20164 | 2019-10-16 |
| 1962905323 | Grace A Oluwadiya | Registered Nurse | 21335 Signal Hill Plaza, Suite 270, Sterling, VA 20164 | 2018-03-13 |
| 1922468602 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 21399 Epicerie Plaza, Sterling, VA 20164 | 2016-02-24 |
| 1942625603 | Totalmobility LLC | Durable Medical Equipment & Medical Supplies | 201 Davis Drive, Suite Nn, Sterling, VA 20164 | 2014-03-04 |
| 1346689189 | Traci Collier | Pharmacist | 22375 Davis Dr, Sterling, VA 20164 | 2013-06-14 |
| 1770842536 | Costco Pharmacy 218 | Clinic/Center | 21398 Price Cascades Plaza, Sterling, VA 20164 | 2012-05-14 |
| 1922371426 | Totalmobility, LLC | Durable Medical Equipment & Medical Supplies | 111k Carpenter Drive, Sterling, VA 20164 | 2012-02-14 |
| 1750676789 | Sheikh M Rasul | Pharmacist | 20600 Great Falls Plaza, Sterling, VA 20164 | 2011-06-17 |
| 1932260114 | Veena Railan | Family Medicine | 101 E.holly Avenue, Unit 9, Sterling, VA 20164 | 2006-12-12 |
| Find all providers in zip 20164 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144838301 | Amanda Morrow Badar | Counselor | 22375 Broderick Dr Ste 125, Sterling, VA 20166-9345 | 2020-07-14 |
| 1063980803 | Susan Michelle Thompson | Counselor | 1606 16th Ave, Sterling, IL 61081-2671 | 2018-11-09 |
| 1013498237 | Chenel Mann | Counselor | 21351 Gentry Dr Ste 250, Sterling, VA 20166-8514 | 2018-08-25 |
| 1134648678 | Seek Serenity | Counselor | 43676 Trade Center Pl, Sterling, VA 20166-2182 | 2017-09-15 |
| 1942749163 | April Parker | Counselor | 21641 Ridgetop Cir Ste 210, Sterling, VA 20166-6597 | 2017-02-21 |
| 1902353360 | Alex Gibson | Counselor | 107 Carpenter Dr Ste 210, Sterling, VA 20164-4468 | 2016-09-02 |
| 1396102794 | Jamie Soucie | Counselor | 330 W. Maint St. Ste B, Sterling, CO 80751 | 2016-01-15 |
| 1558754853 | Julie Alanna Holgate | Counselor | 46950 Community Plz, 211, Sterling, VA 20164-1814 | 2015-03-10 |
| 1457512980 | Heather Whitney | Counselor | 6 Glendale Ave, Sterling, MA 01564-1415 | 2008-06-18 |
| 1053437988 | Daniel D Little | Counselor | 803 W 5th St, Sterling, IL 61081-3322 | 2007-03-22 |
| Find all providers in STERLING | ||||
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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.