PATRICIA ANN TUCKER (NPI# 1457706707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457706707 |
| Entity Type | Individual |
| Full Name | PATRICIA ANN TUCKER |
| Credential | RDN IBCLC |
| Practice Address |
4490 Bonanza Dr Ne Grand Rapids MI 49525-6848 |
| Practice Telephone | 6164817563 |
| Mailing Telephone | 6164817563 |
| Enumeration Date | 2016-04-24 |
| Last Update Date | 2016-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 660207 | MI | Dietary & Nutritional Service Providers |
| Y | 174N00000X | Lactation Consultant, Non-RN | L-35277 | MI | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548440787 | Patricia J. Tucker | Social Worker | 21925 Frederick Rd, Clarksburg, MD 20871 | 2007-11-05 |
| 1417081126 | Patricia Nicole Tucker | Speech-Language Pathologist | 1017 Augusta Dr, Oxford, MS 38655-6187 | 2007-03-15 |
| 1063563856 | Patricia A Tucker | Social Worker | 1211 4th Ave E Ste 200, Olympia, WA 98506-4280 | 2007-01-16 |
| 1558323873 | Patricia W Tucker | Dentist | 902 Dupont Rd, Louisville, KY 40207-4602 | 2006-04-03 |
| 1366439259 | Patricia J Tucker | Social Worker | 255 W 92nd St, New York, NY 10025-7342 | 2005-10-05 |
| 1770587719 | Patricia Lou Tucker | Nurse Practitioner | Maternal and Women's Health, 1001 E Pennsylvania Ave, Ottuma, IA 52501-2195 | 2005-06-08 |
| 1952610867 | Patricia Tucker | Specialist/Technologist, Other | 1449 Highway 6, Suite 300, Sugar Land, TX 77478-5145 | 2010-09-28 |
| 1346552825 | Patricia D. Tucker | Counselor | 250 Pleasant St, Concord, NH 03301-7539 | 2010-07-13 |
| 1386899250 | Patricia Lynn Tucker | Physician Assistant | 3345 Burns Rd Ste 302, Palm Beach Gardens, FL 33410-4321 | 2008-11-19 |
| 1710918370 | Patricia M Tucker | Social Worker | 600 S 70th St, Lincoln, NE 68510-2451 | 2006-07-05 |
| Street Address |
4490 BONANZA DR NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-6848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477079267 | Shira Johnson | Lactation Consultant, Non-RN | 4804 Cascade Rd Se, Grand Rapids, MI 49546-3721 | 2017-08-14 |
| 1740529858 | Johanna Ellen Schnell | Lactation Consultant, Non-RN | 30672 Sunny Beach Rd, Grand Rapids, MN 55744-4891 | 2013-02-08 |
| 1508142639 | Afiya Mari-heri Orara | Lactation Consultant, Non-RN | 315 Commerce Ave Sw, Suite 419, Grand Rapids, MI 49503-4139 | 2011-11-03 |
| 1245856731 | Jennifer Hoekstra | Lactation Consultant, Non-RN | 1900 Mayberry St Se, Grand Rapids, MI 49508-1525 | 2020-06-19 |
| 1548795974 | Michele Klunder | Lactation Consultant, Non-RN | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2017-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093274060 | Ashley Pyrc | Lactation Consultant, Non-RN | 16502 Charles Town Dr, Linden, MI 48451-9185 | 2019-03-18 |
| 1407310188 | Mistel De Varona | Lactation Consultant, Non-RN | 2149 E Napier Ave, Benton Harbor, MI 49022-1846 | 2019-01-26 |
| 1710441928 | Kirsten A Sonneville-douglass | Lactation Consultant, Non-RN | 1703 Maddy Ln, Keego Harbor, MI 48320-1156 | 2019-01-22 |
| 1497252076 | Shonte' Smith | Lactation Consultant, Non-RN | 436 S Saginaw St Ste 300, Flint, MI 48502-1830 | 2018-04-10 |
| 1477058394 | Mia Korinne Roetherford | Lactation Consultant, Non-RN | 18697 Sunderland Rd, Detroit, MI 48219-2816 | 2018-03-25 |
| 1275073744 | Gina Aiuto | Lactation Consultant, Non-RN | 18235 Marquette St, Roseville, MI 48066-3400 | 2017-03-03 |
| 1811436074 | Jennifer Day | Lactation Consultant, Non-RN | 26700 Emmett St, Southfield, MI 48033-3626 | 2017-02-20 |
| 1528501095 | Jalyn Spencer-harris | Lactation Consultant, Non-RN | 23228 Shoreview St, Saint Clair Shores, MI 48082-3020 | 2016-11-30 |
| 1902252778 | Susan L Denison | Lactation Consultant, Non-RN | 3228 Buchanan Ave Sw, Wyoming, MI 49548-2170 | 2016-05-10 |
| 1912353939 | Laura Mechele Casey-bir | Lactation Consultant, Non-RN | 10051 Farm Grove Ct Se, Caledonia, MI 49316-7715 | 2016-05-09 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
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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.