MICHELE RENEE TUCKER (NPI# 1922033372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922033372 |
| Entity Type | Individual |
| Full Name | MICHELE RENEE TUCKER |
| Credential | D.O. |
| Practice Address |
2140 E Edgewood Dr Lakeland FL 33803-3604 |
| Mailing Address |
900 S Pine Island Rd Ste 800 Plantation FL 33324-3923 |
| Practice Telephone | 8636691212 |
| Practice Fax Number | 8636666089 |
| Mailing Telephone | 8636834661 |
| Mailing Fax Number | 8636832579 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 34008377 | OH | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | OS 9417 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 274953000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245783174 | Michele Michael Tucker | Counselor | 2110 Mays Landing Rd Trlr 52, Millville, NJ 08332-1169 | 2016-07-27 |
| 1619576378 | Michele Lynn Tucker | Social Worker | 2900 Conner St, Detroit, MI 48215-2407 | 2020-10-22 |
| 1356330930 | Michele Tucker | Physical Therapist | 125 E Hampden Ave, Englewood, CO 80113-2546 | 2005-10-17 |
| Street Address |
2140 E EDGEWOOD DR |
| City | LAKELAND |
| State | FL |
| Zip Code | 33803-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558335760 | Dorothy Joan Ray | Pediatrics | 2140 E Edgewood Dr, Lakeland, FL 33803-3604 | 2006-02-14 |
| 1003447830 | Saltzman, Tanis, Pittell, Levin and Jacobson, LLC | Pediatrics | 2140 E Edgewood Dr, Lakeland, FL 33803-3604 | 2020-01-30 |
| 1407349350 | Larhonda D. Felder | Nurse Practitioner | 2140 E Edgewood Dr, Lakeland, FL 33803-3604 | 2018-06-14 |
| 1053728881 | Raypar Inc | Pediatrics | 2140 E Edgewood Dr, Lakeland, FL 33803-3604 | 2014-07-14 |
| 1245584143 | Dena Pearce-cox | Nurse Practitioner | 2140 E Edgewood Dr, Lakeland, FL 33803-3604 | 2012-10-31 |
| 1801126461 | Laura Lea Aul | Nurse Practitioner | 2140 E Edgewood Dr, Lakeland, FL 33803-3604 | 2010-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
| 1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
| 1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
| 1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
| 1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
| 1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
| 1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
| 1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
| Find all providers in zip 33803 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134490204 | Theresa Lynn Felten | Pediatrics | 223 Lake Gibson Ln, Lakeland, FL 33809-3545 | 2012-01-22 |
| 1336469931 | Cara Marjorie Anne Cannon | Pediatrics | 5950 South Florida Ave., Lakeland, FL 33813-2532 | 2010-06-04 |
| 1134446107 | Urquiza Pediatrics | Pediatrics | 1545 Lakeland Hills Blvd, Lakeland, FL 33805-3246 | 2010-04-29 |
| 1235385287 | Mark Friberg | Pediatrics | 430 E Central Avenue, Lakeland, FL 33805 | 2008-08-11 |
| 1467521161 | Deborah Kathleen Ford | Pediatrics | 5705 Us Highway 98 S, Lakeland, FL 33812-4108 | 2006-11-07 |
| 1356351019 | Hugh W Johnson | Pediatrics | 2515 Troy Ave, Bay Area Primary Care Assoc Inc, Lakeland, FL 33803-2960 | 2006-08-08 |
| 1518973973 | Lakeside Pediatrics North | Pediatrics | 2929 Lakeland Hills Blvd, Lakeland, FL 33805-2223 | 2006-07-31 |
| 1477519155 | Daniel L Leviten | Pediatrics | 5950 S Florida Ave, Lakeland, FL 33813-2532 | 2006-04-22 |
| 1558335760 | Dorothy Joan Ray | Pediatrics | 2140 E Edgewood Dr, Lakeland, FL 33803-3604 | 2006-02-14 |
| 1114907417 | Karen Beth Schick | Pediatrics | 601 S Florida Ave, Suite 6, Lakeland, FL 33801-5237 | 2006-01-20 |
| Find all providers in LAKELAND | ||||
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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.