BRONYA KAY TUCKER NP-C NPI 1972745156

NPI Information

  • NPI: 1972745156
  • Provider Name: BRONYA KAY TUCKER, NP-C
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1325 LOCUST AVE
    FAIRMONT, WV
    ZIP 26554
  • Phone: (304) 367-7100

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NPI Details

Bronya Kay Tucker, NP-C is a psychiatric/mental health nurse practitioner in Fairmont, WV with 17 years of experience. Bronya Kay Tucker, NP-C NPI is 1972745156. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1325 LOCUST AVE
FAIRMONT, WV
ZIP 26554-435
Phone: (304) 367-7100

The NPI 1972745156 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 4/2/2009 and was last updated on 11/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0401XFamily MedicineAddiction Medicine50676WEST VIRGINIANo
2363LF0000XNurse PractitionerFamily50676WEST VIRGINIANo
3363LP0808XNurse PractitionerPsychiatric/Mental Health50676WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
150676OTHERWEST VIRGINIALICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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