MICHAEL DAVID TUCKER (NPI# 1699073783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699073783 |
| Entity Type | Individual |
| Full Name | MICHAEL DAVID TUCKER |
| Credential | MA, LMHC |
| Practice Address |
309 W 12th St. Vancouver WA 98660-1209 |
| Practice Telephone | 3606951325 |
| Practice Fax Number | 3606959803 |
| Mailing Telephone | 5036803103 |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2018-06-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CG60271241 | WA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
C4816 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417332321 | Michael Tucker | Physician Assistant | 5171 N Santa Monica Blvd, Apt 4, Milwaukee, WI 53217-5538 | 2015-07-22 |
| 1962524793 | Michael C Tucker | Counselor | 748 Timbercreek Road, Dixon, IL 61021 | 2007-04-04 |
| 1962554535 | Michael Randolph Tucker | Dentist | 502 Prairie, Winnsboro, LA 71295 | 2007-01-17 |
| 1477661882 | Michael C Tucker | Chiropractor | 7721 Dollarway Rd, Suite 1, White Hall, AR 71602 | 2006-08-26 |
| 1972148930 | Michael Tucker | Case Manager/Care Coordinator | 2000 Aldersgate Rd, Little Rock, AR 72205-7018 | 2019-11-14 |
| 1306489463 | Michael Tucker | Anesthesiologist Assistant | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 | 2019-10-22 |
| 1881247328 | Michael Tucker | Dentist | 222 N Chelan Ave, Wenatchee, WA 98801-2105 | 2019-07-23 |
| 1902210107 | Michael A Tucker | Optometrist | 1155 Pocatello Creek Rd, Pocatello, ID 83201-2949 | 2014-06-16 |
| 1831471457 | Michael A Tucker | Pharmacist | 7338 Dixie Hwy, Louisville, KY 40258-3722 | 2011-09-10 |
| 1073703187 | Michael James Tucker | Orthopaedic Surgery | 900 Cooper Ave, Suite 3100, Saginaw, MI 48602-5182 | 2007-07-26 |
| Street Address |
309 W 12TH ST. |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98660-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538779137 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 781 W Columbia Way, Vancouver, WA 98660 | 2020-08-07 |
| 1538641527 | Melissa Molly Sivaram | Counselor | 1012 Esther St, Vancouver, WA 98660 | 2018-09-05 |
| 1679082598 | Christopher Lewis Schwab | Peer Specialist | 5197 Nw Lower River Rd, Vancouver, WA 98660 | 2017-09-22 |
| 1023560141 | Disabled Veterans Hawaii LLC | Durable Medical Equipment & Medical Supplies | 4817 Nw Fruit Valley Road, Suite 100, Vancouver, WA 98660 | 2016-10-25 |
| 1023493004 | Laura Nicole Wood | Counselor | 1104 Main St Ste M100, Vancouver, WA 98660 | 2015-07-20 |
| 1790034627 | Clark County Juvenile Court | Marriage & Family Therapist | 500 W 11th Street, Vancouver, WA 98660 | 2012-09-06 |
| 1538439104 | Hutton Chiropractic Clinic Inc | Chiropractor | 703 Broadway Street, Ste 650, Vancouver, WA 98660 | 2012-01-12 |
| 1134422629 | Brenda Marie Bible | Social Worker | 101 E 8th St Ste 110, Vancouver, WA 98660 | 2010-12-06 |
| 1871895409 | Donna L Benedicktus | Contractor | 210 E Evergreen Blvd, Vancouver, WA 98660 | 2010-12-02 |
| 1992007801 | Peter Ray Hasemeier | Massage Therapist | 805 Broadway St., Vancouver, WA 98660 | 2010-11-29 |
| Find all providers in zip 98660 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463878 | Andrew Accornero | Counselor | 108 Se 124th Ave Ste 17, Vancouver, WA 98684-6015 | 2020-10-08 |
| 1962024703 | Sarah Elizabeth Wahl | Counselor | 10919 Ne Sherwood Dr, Vancouver, WA 98686-4324 | 2020-05-14 |
| 1922632900 | Jeremy Houtsma Counseling LLC | Counselor | 601 Main St Ste 309, Vancouver, WA 98660-3404 | 2020-02-27 |
| 1194367631 | Ashley Amber Thomas | Counselor | 5732 Ne 131st Pl, Vancouver, WA 98682-2277 | 2019-10-16 |
| 1164073698 | Michelle L Drake | Counselor | 9606 Ne 19th St, Vancouver, WA 98664-2983 | 2019-09-25 |
| 1306496260 | Shaina Lee Heimerl | Counselor | 4317 Ne Thurston Way Ste 11, Vancouver, WA 98662-6658 | 2019-09-12 |
| 1205497013 | Natasha Marie Medina | Counselor | 1104 Main St Ste M105, Vancouver, WA 98660-2969 | 2019-06-23 |
| 1295395267 | Nicola R Cook | Counselor | 6221 Ne Fourth Plain Blvd Apt 130, Vancouver, WA 98661-7210 | 2019-06-20 |
| 1720643851 | Christine Yoshida | Counselor | 10000 Ne 7th Ave # 100-d, Vancouver, WA 98685-4599 | 2019-05-03 |
| 1679035364 | Breanne Alina Valrance | Counselor | 6601 Ne 71st Ave, Vancouver, WA 98661-1945 | 2019-04-02 |
| Find all providers in VANCOUVER | ||||
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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.