PATRICIA ANN TUCKER RDN IBCLC
NPI 1457706707
Lactation Consultant, Non-RN in Grand Rapids, MI

Active since April 24, 2016
4490 BONANZA DR NE, GRAND RAPIDS, MI 49525(616) 481-7563 Get Directions Write a Review

NPPES record last updated: April 24, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Patricia Ann Tucker Rdn Ibclc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICIA ANN TUCKER RDN IBCLC (NPI 1457706707) is an individual lactation consultant, non-rn provider in Grand Rapids, Michigan, licensed in Michigan (L-35277) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1457706707
Entity TypeIndividualFemale
Primary Taxonomy174N00000X
Provider Legal NamePATRICIA ANN TUCKERCredential: RDN IBCLC
Location Address4490 BONANZA DR NEGrand Rapids, MI 49525-6848
Mailing Address4490 Bonanza Dr NeGrand Rapids, MI 49525-6848 · (616) 481-7563
Sole ProprietorYes
Enumeration DateApril 24, 2016
NPI 1457706707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyLactation Consultant, Non-RNOther Service Providers
Taxonomy Code174N00000X
License Licensed in MI · L-35277
Definition
An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 660207 (MI)
4490 BONANZA DR NE, Grand Rapids, MI 49525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patricia Tucker's NPI number?

The NPI number for Patricia Tucker is 1457706707. It was assigned to this individual provider in the NPPES registry on April 24, 2016.

Where is Patricia Tucker located?

Patricia Tucker practices at 4490 Bonanza Dr NE, Grand Rapids, MI 49525. The listed phone number is (616) 481-7563.

What is Patricia Tucker's specialty?

The primary specialty registered for this NPI is Lactation Consultant, Non-RN with taxonomy code 174N00000X.

When was this NPI record last updated?

The NPPES record for Patricia Tucker was last updated on April 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.