KERRI L TUCKER (NPI# 1629294194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629294194 |
| Entity Type | Individual |
| Full Name | KERRI L TUCKER |
| Credential | NP |
| Practice Address |
100 E Idaho St Ste 400 Boise ID 83712-6267 |
| Mailing Address |
190 E Bannock St Boise ID 83712-6241 |
| Practice Telephone | 2083455250 |
| Practice Fax Number | 2083452364 |
| Mailing Telephone | 2083455250 |
| Mailing Fax Number | 2083452364 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2012-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
NP 807A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 E IDAHO ST STE 400 |
| City | BOISE |
| State | ID |
| Zip Code | 83712-6267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336133776 | Gregory G Janos | Pediatrics | 100 E Idaho St, Suite 200, Boise, ID 83712-6267 | 2005-08-31 |
| 1205444734 | Allison Reed | Pharmacist | 100 E Idaho St, Boise, ID 83712-6267 | 2020-07-21 |
| 1619585247 | Christina Gullion | Pharmacist | 100 E Idaho St, Boise, ID 83712-6267 | 2020-07-20 |
| 1548897556 | Brooke Hueftle | Pharmacist | 100 E Idaho St, Boise, ID 83712-6267 | 2020-03-27 |
| 1194364919 | Sarah Rosemarie Hogue | Pharmacist | 100 E Idaho St, Boise, ID 83712-6267 | 2019-12-26 |
| 1710525167 | Leslie Lynn Lamontagne | Pharmacist | 100 E Idaho St, Boise, ID 83712-6267 | 2019-12-17 |
| 1487292843 | Lauren Zupsic | Pharmacist | 100 E Idaho St, Boise, ID 83712-6267 | 2019-12-17 |
| 1659919199 | Stephanie Matta | Pharmacist | 100 E Idaho St, Boise, ID 83712-6267 | 2019-12-16 |
| 1104464627 | David Blair Wilson | Pharmacist | 100 E Idaho St, Boise, ID 83712-6267 | 2019-12-16 |
| 1386282788 | Jessie Modlin | Pharmacist | 100 E Idaho St, Boise, ID 83712-6267 | 2019-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477016012 | Veranda At Barber Station LLC | Assisted Living Facility | 3266 E. Barber Valley Drive, Boise, ID 83712 | 2019-04-10 |
| 1891258612 | Mary Elizabeth Riedel | Occupational Therapist | 190 E Bancock St., Boise, ID 83712 | 2019-04-09 |
| 1427523968 | Q17 Health Partners LLC | Surgery | 100 East Idaho Street #317, Boise, ID 83712 | 2018-10-11 |
| 1053898247 | Travis Dale Worwood | Social Worker | South Entrance, 1075 E. Park Blvd, Boise, ID 83712 | 2018-07-20 |
| 1689166761 | Kristen Nicole Ray | Social Worker | 109 E Bannock St, Boise, ID 83712 | 2018-06-04 |
| 1740706894 | Meghan Heitstuman | Social Worker | 190 E Bannock Street, Boise, ID 83712 | 2017-08-21 |
| 1942759725 | Kay Craig | Physical Therapist | 190 Bannock, Boise, ID 83712 | 2016-09-22 |
| 1235686395 | Sharon Bjornson | Physical Therapist | 190 East Bannack, Boise, ID 83712 | 2016-09-07 |
| 1033576491 | Heather Hussey | Genetic Counselor, MS | 100 E Idaho Street, Msti Genetics, Boise, ID 83712 | 2016-01-15 |
| 1295139137 | Amie Bartholomeus | Massage Therapist | 100 East Idaho Street, St Luke's Mountain States Tumor Institute, Boise, ID 83712 | 2014-10-21 |
| Find all providers in zip 83712 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013572973 | Jessica Rose Mcqueary | Nurse Practitioner | 100 E Idaho St, Boise, ID 83712-6267 | 2019-05-07 |
| 1780949164 | Cortney Lynn Schnupp | Nurse Practitioner | 333 N 1st St, 240, Boise, ID 83702-6100 | 2012-07-11 |
| 1710132931 | Jennifer Lynn Newman | Nurse Practitioner | 333 N 1st St Ste 240, Boise, ID 83702-6132 | 2008-12-02 |
| 1528271103 | Susan Eliane Ault | Nurse Practitioner | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2007-05-08 |
| 1659396430 | Ruth Butterfield | Nurse Practitioner | 100 E Idaho St, Suite 400, Boise, ID 83712-6223 | 2006-07-13 |
| 1699724633 | Velma Seabolt | Nurse Practitioner | 333 N 1st St, Suite 240, Boise, ID 83702-6100 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699701615 | Margaret Ann Leverett | Nurse Practitioner | 2305 Coronado Street, Idaho Falls, ID 83404 | 2006-06-23 |
| 1629400734 | Brennan N Carmody | Nurse Practitioner | 520 S Eagle Rd, Ste 3209, Meridian, ID 83642-6351 | 2013-07-31 |
| 1861689655 | Jenny Ann Stireman | Nurse Practitioner | 100 Hospital Dr., Suite 200, Ketchum, ID 83340 | 2007-09-26 |
| 1972615466 | Margaret Leverett, Rncnp, Pllc | Nurse Practitioner | 2305 Coronado Street, Idaho Falls, ID 83404 | 2006-08-31 |
| 1164441143 | Kathleen A. Martin | Nurse Practitioner | 520 S Eagle Rd, Suite 3209, Meridian, ID 83642-6351 | 2006-07-19 |
| 1225008998 | Julie A Stevens | Nurse Practitioner | 3520 E. Louise Dr, Meridian, ID 83642 | 2006-01-25 |
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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.