PAMELA D TUCKER (NPI# 1902403009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902403009 |
| Entity Type | Individual |
| Full Name | PAMELA D TUCKER |
| Other Name | PAMELA D TUCKER |
| Credential | RN |
| Practice Address |
600 Trent Street Princeton WV 24740 |
| Mailing Address |
355 Bluefield Ave Bluefield WV 24701-2883 |
| Practice Telephone | 3044257111 |
| Practice Fax Number | 3044251138 |
| Mailing Telephone | 3044257111 |
| Mailing Fax Number | 3044251138 |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376J00000X | Homemaker | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 55-6025355 | 05 | |
| WV | 1568796027 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720532781 | Pamela Tucker | Technician, Other | 2600 Woodmeadow Dr Se, Apt. 303, Grand Rapids, MI 49546-8039 | 2016-08-08 |
| 1255959623 | Pamela Maree Tucker | Physical Therapist | 8395 Oswego Rd, Baldwinsville, NY 13027-6801 | 2020-07-11 |
| 1881199859 | Pamela D Tucker | Case Manager/Care Coordinator | 2114 Noble Rd, Cleveland, OH 44112-1725 | 2018-03-29 |
| 1093252900 | Pamela O Tucker | Physical Therapist | 304 Marcella Rd, Ste E, Hampton, VA 23666 | 2017-01-30 |
| 1902103674 | Pamela Lynn Tucker | Counselor | 19707 44th Ave W, Ste 101, Lynnwood, WA 98036-6757 | 2011-02-16 |
| 1336372457 | Pamela R Tucker | Massage Therapist | 813 W South St, Kalamazoo, MI 49007-4696 | 2009-08-25 |
| 1689829251 | Pamela Sue Tucker | Registered Nurse | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2008-11-24 |
| 1538265228 | Pamela Tucker | Nurse Practitioner | 4500 Stuart St, Moncrief Army Community Hospital, Attn: Mcxl-pq, Columbia, SC 29207-5700 | 2006-09-16 |
| 1568568558 | Pamela Ann Tucker | Physical Therapist | 6080 Southwest Blvd, Benbrook, TX 76109-3912 | 2006-09-16 |
| Street Address |
600 TRENT STREET |
| City | PRINCETON |
| State | WV |
| Zip Code | 24740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982024741 | Community Action of South Eastern Wv | Home Health | 600 Trent Street, Princeton, WV 24740 | 2014-04-21 |
| 1679171144 | Derrick L Allen | Homemaker | 600 Trent Street, Princeton, WV 24740 | 2020-10-15 |
| 1609474162 | Angela Rowe | Homemaker | 600 Trent Street, Princeton, WV 24740 | 2020-10-15 |
| 1780282996 | Charity Lee Winterrowd | Homemaker | 600 Trent Street, Princeton, WV 24740 | 2020-10-12 |
| 1629676739 | Janae Monique Craighead | Homemaker | 600 Trent Street, Princeton, WV 24740 | 2020-10-12 |
| 1760080873 | Monica Rena Craighead | Homemaker | 600 Trent Street, Princeton, WV 24740 | 2020-10-12 |
| 1588262604 | Jennifer Wolfe Grossi | Homemaker | 600 Trent Street, Princeton, WV 24740 | 2020-10-12 |
| 1649878760 | Paula Dee Laughery | Homemaker | 600 Trent Street, Princeton, WV 24740 | 2020-10-12 |
| 1467050583 | Deidra Smith | Homemaker | 600 Trent Street, Princeton, WV 24740 | 2020-10-12 |
| 1194323204 | Kimberly Darlene Baker | Homemaker | 600 Trent Street, Princeton, WV 24740 | 2020-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
| 1215536222 | Right At Home | Home Health | 313 Locus St, Princeton, WV 24740 | 2020-10-21 |
| 1881208098 | Robin Lane | Technician | 174 Tea Kettle Road, Princeton, WV 24740 | 2020-09-04 |
| 1134739824 | Nona Arthur | Technician | 708 Bluefiled Ave, Princeton, WV 24740 | 2020-08-06 |
| 1851909014 | Tina B Altizer | Speech-Language Pathologist | 120 12th Street, Princeton, WV 24740 | 2020-07-14 |
| 1245712504 | Tracy Jean Mitchell | Speech-Language Pathologist | 1200 Mercer St, Princeton, WV 24740 | 2018-09-04 |
| 1700305240 | Tina Six | Registered Nurse | 1403 Honaker Avenue, Princeton, WV 24740 | 2017-09-15 |
| 1013449172 | Karin Cappa | Pharmacist | 669 Cornfield Rd, Princeton, WV 24740 | 2017-03-29 |
| 1942661723 | Virginia Chryssikos | Social Worker | 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 | 2016-03-08 |
| 1477939460 | Kathy Diane Wyrick | Counselor | 220 South Walker Street, Princeton, WV 24740 | 2015-08-03 |
| Find all providers in zip 24740 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171144 | Derrick L Allen | Homemaker | 600 Trent Street, Princeton, WV 24740 | 2020-10-15 |
| 1609474162 | Angela Rowe | Homemaker | 600 Trent Street, Princeton, WV 24740 | 2020-10-15 |
| 1780282996 | Charity Lee Winterrowd | Homemaker | 600 Trent Street, Princeton, WV 24740 | 2020-10-12 |
| 1629676739 | Janae Monique Craighead | Homemaker | 600 Trent Street, Princeton, WV 24740 | 2020-10-12 |
| 1760080873 | Monica Rena Craighead | Homemaker | 600 Trent Street, Princeton, WV 24740 | 2020-10-12 |
| 1588262604 | Jennifer Wolfe Grossi | Homemaker | 600 Trent Street, Princeton, WV 24740 | 2020-10-12 |
| 1649878760 | Paula Dee Laughery | Homemaker | 600 Trent Street, Princeton, WV 24740 | 2020-10-12 |
| 1467050583 | Deidra Smith | Homemaker | 600 Trent Street, Princeton, WV 24740 | 2020-10-12 |
| 1194323204 | Kimberly Darlene Baker | Homemaker | 600 Trent Street, Princeton, WV 24740 | 2020-10-12 |
| 1962009225 | Glen Ray Abshire | Homemaker | 600 Trent Street, Princeton, WV 24740 | 2020-10-08 |
| Find all providers in PRINCETON | ||||
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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.