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DIABETES CLINICARE & WELLNESS SPRINGFIELD LLC
NPI 1548988835
Family Medicine in Springfield, MO

Active since August 22, 2022
1649 S ENTERPRISE AVE, SPRINGFIELD, MO 65804(417) 771-5266(417) 590-8232 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diabetes Clinicare & Wellness Springfield Llc NPPES

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

DIABETES CLINICARE & WELLNESS SPRINGFIELD LLC (NPI 1548988835) is a healthcare organization registered as a family medicine in Springfield, Missouri and active in the NPI registry since August 2022. The organization lists Ricky Tucker, Manager, as its authorized official.

NPPES Registry Identity

NPI1548988835
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDIABETES CLINICARE & WELLNESS SPRINGFIELD LLC
Location Address1649 S ENTERPRISE AVESpringfield, MO 65804-1850
Mailing Address3125 S Brandywine TrlSpringfield, MO 65809-4304 · (417) 771-5266 · Fax (417) 590-8232
Phone(417) 771-5266
Fax(417) 590-8232
Organization SubpartNo
Authorized OfficialRicky TuckerManager · (417) 413-1351
Enumeration DateAugust 22, 2022
NPPES CertifiedAugust 22, 2022
✔ NPI 1548988835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1649 S ENTERPRISE AVE, Springfield, MO 65804
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Diabetes Clinicare & Wellness Springfield LLC's NPI number?

The NPI number for Diabetes Clinicare & Wellness Springfield LLC is 1548988835. It was assigned to this organization in the NPPES registry on August 22, 2022.

Where is Diabetes Clinicare & Wellness Springfield LLC located?

Diabetes Clinicare & Wellness Springfield LLC is located at 1649 S Enterprise Ave, Springfield, MO 65804. The listed phone number is (417) 771-5266.

What is Diabetes Clinicare & Wellness Springfield LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Diabetes Clinicare & Wellness Springfield LLC was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.