GWENDOLYN RITA TUCKER (NPI# 1457868135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457868135 |
| Entity Type | Individual |
| Full Name | GWENDOLYN RITA TUCKER |
| Credential | PCA |
| Practice Address |
206 Waggoner Toledo OH 43612 |
| Practice Telephone | 4199647728 |
| Mailing Telephone | 4199847728 |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
OH | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0111545 | 05 |
| Street Address |
206 WAGGONER |
| City | TOLEDO |
| State | OH |
| Zip Code | 43612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295296481 | Alyssa Ellis | Registered Nurse | 3821 Revere Drive, Toledo, OH 43612 | 2019-03-29 |
| 1235603838 | Kimberly R Lockhart | Counselor | 1701 W. Sylvania Ave., Toledo, OH 43612 | 2019-01-16 |
| 1770054264 | Brandy Michelle Gore | Case Manager/Care Coordinator | 1711 Sylvania Ave, Toledo, OH 43612 | 2018-12-10 |
| 1205359593 | Brittany Leann Davis | Licensed Practical Nurse | 738 W Poinsetta, Toledo, OH 43612 | 2017-07-19 |
| 1619406261 | Sarah Jean Lawrence | Technician | 3814 Berkeley Dr, Toledo, OH 43612 | 2017-06-07 |
| 1497298145 | Cathy Hebert | Home Health Aide | 4144 Caroline Ave, Toledo, OH 43612 | 2016-11-29 |
| 1740572122 | Robert Edward Dorrell | Pharmacist | 1012 W. Sylvania Ave, Toledo, OH 43612 | 2011-05-04 |
| 1053611525 | Gensis | Skilled Nursing Facility | 330 West Crawford Ave, Toledo, OH 43612 | 2010-10-29 |
| 1821206665 | Best At Home Healthcare Services, LLC | Home Health | 33 New Towne Sq Dr., Suite B, Toledo, OH 43612 | 2007-05-17 |
| 1891795829 | Brookeside Ambulance Service Inc | Ambulance | 640 Phillips Ave, Toledo, OH 43612 | 2005-08-01 |
| Find all providers in zip 43612 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647058 | Tamika Nicole Mitchell | Technician | 130 Gradolph St, Toledo, OH 43612-1420 | 2020-10-23 |
| 1396350781 | Catherine Ann Bennett | Technician | 1907 W Woodruff Ave, Toledo, OH 43607-1681 | 2020-09-11 |
| 1548875123 | Maryann Gutierrez | Technician | 1412 Mott Ave, Toledo, OH 43605-1647 | 2020-09-10 |
| 1104441534 | Linda Sams | Technician | 617 Hobart St, Toledo, OH 43609-2422 | 2020-06-11 |
| 1982230249 | Tierra Byrd | Technician | 4026 Packard Rd, Toledo, OH 43612-1936 | 2020-03-19 |
| 1689214389 | Marcia L Collins-lighten | Technician | 1658 Milburn Ave, Toledo, OH 43606-4415 | 2020-01-10 |
| 1245898931 | Britany Johnsonpargo | Technician | 1624 Buckingham St, Toledo, OH 43607-4310 | 2019-05-29 |
| 1598266199 | Linnea Peagler | Technician | 2429 Cheyenne Blvd Apt 23, Toledo, OH 43614-1750 | 2018-02-28 |
| 1811416795 | Jewel Johnson | Technician | 151 Hausman St, Toledo, OH 43608-2332 | 2017-09-12 |
| 1376060046 | Morita Estelle Smith | Technician | 4442 W Alexis Rd Ste F, Toledo, OH 43623-1200 | 2017-08-24 |
| Find all providers in TOLEDO | ||||
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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.