KERRY A TUCKER (NPI# 1699383414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699383414 |
Entity Type | Individual |
Full Name | KERRY A TUCKER |
Credential | PMHNP-BC |
Practice Address |
99 Tavern Rd Martinsburg WV 25401-2890 |
Practice Telephone | 3042637023 |
Mailing Telephone | 3042637023 |
Enumeration Date | 2020-07-17 |
Last Update Date | 2020-07-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
106714 | WV | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
99 TAVERN RD |
City | MARTINSBURG |
State | WV |
Zip Code | 25401-2890 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083617823 | Shenandoah Valley Medical System, Inc. | Clinic/Center | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2005-05-24 |
1134752785 | Scott Damon George | Social Worker | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2020-02-21 |
1942831748 | Victoria Ann Flynn | Social Worker | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2020-01-30 |
1770141202 | Sarah Dey | Advanced Practice Midwife | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2019-05-30 |
1730642737 | Tina Marie Malgarini Mawing | Nurse Practitioner | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2019-04-08 |
1518439934 | Sabrina Austin | Advanced Practice Midwife | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2018-12-24 |
1649765132 | Cara Beth Burker | Nurse Practitioner | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2018-06-27 |
1265933295 | April Marshall | Advanced Practice Midwife | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2018-02-26 |
1588164982 | Glenda Leanne Kay | Advanced Practice Midwife | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2018-02-13 |
1740715465 | Mary Dunn | Registered Nurse | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2017-05-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962020537 | Christina Anne Williams | Nurse Practitioner | 2100 Hospital Drive, Martinsburg, WV 25401 | 2020-07-10 |
1013530633 | Pdi Health Wv LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 126 E. Burke Street, Martinsburg, WV 25401 | 2020-05-19 |
1699293035 | Tiffany Curry | Social Worker | 653 Winchester Avenue, Martinsburg, WV 25401 | 2017-09-06 |
1972042992 | Berkeley County Council | Counselor | 800 Emmett Rousch Drive, Martinsburg, WV 25401 | 2017-02-23 |
1023569449 | Heidi Crawford | Registered Nurse | 401 South College Street, Berkeley County Board of Ed, Martinsburg, WV 25401 | 2016-10-20 |
1578911293 | Christina Marie Van Hilst | Nurse Practitioner | 1001 Sushruta Dr, Martinsburg, WV 25401 | 2016-06-03 |
1578926549 | Barathy Radhakrishnan | Speech-Language Pathologist | 401 Queen Street, Berkeley County Board of Education, Martinsburg, WV 25401 | 2016-03-29 |
1972985638 | Wellco Dme LLC | Durable Medical Equipment & Medical Supplies | 107 Tavern Rd, Martinsburg, WV 25401 | 2015-06-18 |
1457731960 | Patrick Hamilton Noland | Dentist | 1003 Sushruta Dr., Martinsburg, WV 25401 | 2015-06-01 |
1801296330 | Terry Harden | Massage Therapist | 601 South Raliegh St., Martinsburg, WV 25401 | 2014-09-03 |
Find all providers in zip 25401 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154921716 | Sira Diakite | Nurse Practitioner | 2500 Hospital Dr, Martinsburg, WV 25401-3402 | 2020-10-31 |
1891246724 | Barbara Ann Kadesky | Nurse Practitioner | 51 Street of Dreams, Martinsburg, WV 25403-1134 | 2016-10-15 |
1760726269 | Charlene Rozich | Nurse Practitioner | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2012-11-21 |
1891932711 | Eleanor Gooch | Nurse Practitioner | 2000 Foundation Way, Ste 3500, Martinsburg, WV 25401-9003 | 2009-01-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194326595 | Michelle Anne Stanley | Nurse Practitioner | 570 Sauerkraut Road, Wardensville, WV 26851 | 2020-11-03 |
1104469899 | Nicole Wennerberg | Nurse Practitioner | 123 Hovatter Dr, Inwood, WV 25428-1298 | 2019-10-24 |
1528609856 | Jan Augusta Nieves | Nurse Practitioner | 3094 Charlestown Road, Kearneysville, WV 25430 | 2019-10-08 |
1679120786 | Hope Hill Mental Wellness Center LLC | Nurse Practitioner | 1809 Dupont Rd E. Suite #1, Parkersburg, WV 26101 | 2019-08-22 |
1205290178 | Kimberly J Rittenhouse | Nurse Practitioner | 1809 Dupont Rd Ste 1, Parkersburg, WV 26101 | 2016-04-07 |
1285022723 | Yolanda Hunter | Nurse Practitioner | 201 Adams St, Fairmont, WV 26554-2825 | 2015-01-07 |
1437563558 | Janel Nuzum | Nurse Practitioner | 800 Garfield Ave Ste 2, Parkersburg, WV 26101-5376 | 2014-06-17 |
1447857594 | Angela Dawn Monroe | Nurse Practitioner | 911 Emerson Ave, Parkersburg, WV 26104-2526 | 2020-10-01 |
1346878857 | Erika Pesarsick | Nurse Practitioner | 1005 White Willow Way, Morgantown, WV 26505-6119 | 2020-03-30 |
1609401520 | Rachel Richardson | Nurse Practitioner | 936 Sharpe Hospital Rd, Weston, WV 26452-8550 | 2020-03-11 |
Find all providers with the same taxonomy |
City | MARTINSBURG |
Zip Code | 25401 |
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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.