KIMBERLY TUCKER


Address: 1040 Waltham St, Lexington, MA 02421-8033
Phone: 7817615148

KIMBERLY TUCKER (NPI# 1952859647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952859647
Entity Type Individual
Full Name KIMBERLY TUCKER
Practice Address 1040 Waltham St
Lexington
MA 02421-8033
Practice Telephone 7817615148
Practice Fax Number 7818600589
Mailing Telephone 7817615148
Mailing Fax Number 7818600589
Enumeration Date 2016-09-12
Last Update Date 2016-09-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA MBHP 1303287 01
MA 1303287 05
MA NETWORK HEALTH 99618201 01
MA NHP 1004745 01
MA BMC 0000023532 01
MA TAX ID 042611055 01
MA BCBS M18633 01

Other Providers KIMBERLY TUCKER

NPI Name Taxonomy Address Enumeration
1548825185 Kimberly Ann Tucker Speech-Language Pathologist 5325 Choctaw St, St Augustine, FL 32092-0326 2019-05-09
1235432725 Kimberly Tucker Counselor 1583 S Belcher Rd Ste D, Clearwater, FL 33764-7609 2010-12-06
1295906790 Kimberly Karin Tucker Orthopaedic Surgery 1521 E Tangerine Rd Ste 337, Oro Valley, AZ 85755-6223 2008-03-12
1225544943 Kimberly Tucker Assistant Behavior Analyst 1330 Quail Lake Loop Ste 200, Colorado Springs, CO 80906-4651 2017-12-18
1780968503 Kimberly J Tucker Pharmacist 850 Glenrock Rd, Norfolk, VA 23502-3702 2011-09-29
1023308988 Kimberly Victoria Tucker Orthopaedic Surgery 720 Us Highway 202/206, Bridgewater, NJ 08807-1746 2011-04-13
1457659542 Kimberly Dianne Tucker Pharmacist 2109 E Victory Dr, Savannah, GA 31404-3917 2011-03-14
1255504692 Kimberly Mckerley Tucker Counselor 901 Goodyear Ave, Gadsden, AL 35903-1106 2008-04-07
1568658896 Kimberly Tucker Physical Therapist 788 Cherry Tree Ct, Hanover, PA 17331-7901 2007-09-20
1992874168 Kimberly Rochelle Brown Tucker Nurse Practitioner 7601 Southcrest Parkway, Southaven, MS 38671 2006-11-06

Office Location

Street Address 1040 WALTHAM ST
City LEXINGTON
State MA
Zip Code 02421-8033

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649219023 Matthew Paul Snell Counselor 1040 Waltham St, Lexington, MA 02421-8033 2006-06-04
1972046100 Anthony Pflugradt Behavior Technician 1040 Waltham St, Lexington, MA 02421-8033 2016-11-20
1518409671 Hyun-zie Tara Hong Social Worker 1040 Waltham St, Lexington, MA 02421-8033 2016-11-07
1427500057 Jessica Miyu Magyar Counselor 1040 Waltham St, Lexington, MA 02421-8033 2016-10-31
1427509249 Francis Connelly Counselor 1040 Waltham St, Lexington, MA 02421-8033 2016-10-17
1033668546 Monique Mitchell Counselor 1040 Waltham St, Lexington, MA 02421-8033 2016-09-26
1386192086 Kelly Swartz Social Worker 1040 Waltham St, Lexington, MA 02421-8033 2016-09-12
1477001170 Kate Tessmann Social Worker 1040 Waltham St, Lexington, MA 02421-8033 2016-09-12
1891243580 Michelle Galper Counselor 1040 Waltham St, Lexington, MA 02421-8033 2016-09-12
1295282614 Kaelin Farmer Counselor 1040 Waltham St, Lexington, MA 02421-8033 2016-09-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972149300 Streettherapy,llc Counselor Triad Adolescent Services, 363 Mass. Ave., Suite204, Lexington, MA 02421 2019-11-20
1598249922 Kelly Sexton Social Worker Labbb Collaborative Lexington High School, 251 Waltham St, MA 02421 2018-09-21
1538641956 Jill Or Planeta Social Worker 40 Taft Ave, Lexington, MA 02421 2018-09-01
1902390388 Erika Yaneth Valek Counselor 125 Hartwell Avenue, Lexington, MA 02421 2018-06-19
1366743668 Elizabeth Ann Murphy Social Worker 17 Stedman Rd, Lexington, MA 02421 2010-11-03
1003045063 Nils Becker Pathology 1 Cranberry Hill Ste 303, Lexington, MA 02421 2009-07-10
1780829556 Lynn Joan Meltzer Psychologist Institute for Learning and Development, 4 Militia Drive, Lexington, MA 02421 2008-12-09
1962666511 Kristin Stanley Rullo Optometrist 21 Worthen Road, Lexington, MA 02421 2008-07-14
1861660201 Jillian S Imagire Radiology Concert Pharmaceuticals, 99 Hayden Ave, Suite 100, Lexington, MA 02421 2008-02-20
1144498049 Lexington Dental Associates Dentist 271 Lincoln Street, Suite 2, Lexington, MA 02421 2008-02-13
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1306450739 Rebeca Griffith Counselor 304 Grey Oaks Ct, Lexington, SC 29072-7418 2020-09-02
1164034294 Ashlyn Brooke Bordelon Counselor 113 Ivy Hill Ct, Lexington, SC 29072-8054 2020-08-19
1720698897 Tracy Mae Springate Counselor 750 Shaker Dr Apt 202, Lexington, KY 40504-3725 2020-08-04
1760090724 Statera Counseling, LLC Counselor 281 Governors Grant Blvd, Lexington, SC 29072-8826 2020-07-16
1396361374 Courtney Scott Counselor 1666 Massachusetts Ave Fl 2, Lexington, MA 02420-5313 2020-06-24
1144846684 A Better Way Counselor 366 Waller Ave Ste 213, Lexington, KY 40504-2921 2020-06-21
1366067381 Kadie Ann Bourgoin Counselor 230 White Oleander Dr, Lexington, SC 29072-7037 2020-06-15
1629690672 Summit Counseling Center Counselor 145 Burt Rd Ste 19, Lexington, KY 40503-2401 2020-05-13
1083240709 Seung Hee Oh Counselor 7 Stedman Rd Apt 301, Lexington, MA 02421-7133 2020-03-13
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Competitor

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City LEXINGTON
Zip Code 02421

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Dataset Information

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.

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