VIVIEN O TUCKER MD
NPI 1821049925
Family Medicine in Fayetteville, AR

Q: What is Vivien Tucker's NPI number?

The NPI number for Vivien Tucker is 1821049925. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Q: What is Vivien Tucker's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Vivien Tucker was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since May 13, 2006CLIA 04D2211170 · Waiver

13859 GREENRIDGE RD, FAYETTEVILLE, AR 72701(812) 455-8405(479) 269-4261 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 30, 2025, Mar 2, 2020, Nov 15, 2016 and 1 more (4 updates tracked since 2016).

On this page

About Vivien O Tucker Md NPPES

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

VIVIEN O TUCKER MD (NPI 1821049925) is an individual family medicine provider in Fayetteville, Arkansas, licensed in Indiana (01039200A) and active in the NPI registry since May 2006. She holds a CLIA Waiver certificate valid through January 25, 2027 and maintains a secondary practice location in Evansville.

NPPES Registry Identity

NPI1821049925

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameVIVIEN O TUCKERCredential: MD

Location Address13859 GREENRIDGE RDFayetteville, AR 72701-0789

Mailing Address13859 Greenridge RdFayetteville, AR 72701-0789 · (812) 455-8405

Phone(812) 455-8405

Fax(479) 269-4261

Sole ProprietorNo

Enumeration DateMay 13, 2006

Last NPPES UpdateMay 30, 20254 updates tracked since enumeration

NPPES CertifiedMay 30, 2025

✔ NPI 1821049925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01039200A

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.

13859 GREENRIDGE RD, Fayetteville, AR 72701

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Secondary Practice Location 1

Location 110128 Brookcrest DrEvansville, IN 47711-7156 · Phone (812) 455-8405 · Fax (479) 269-4261

Other Identifiers 1

Medicaid100359550IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2211170

Vivien Tucker MD · Fayetteville, AR

Active · expires Jan 25, 2027

CLIA Number04D2211170

Laboratory TypeIndependent

Certificate Effective DateJanuary 26, 2025

Certificate Expiration DateJanuary 25, 2027

Laboratory DirectorDr. Vivien Tucker

Laboratory Phone(812) 455-8405

Laboratory LocationVivien Tucker MD13859 Greenridge Drive, Fayetteville, AR 72701

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Vivien Tucker's NPI number?

The NPI number for Vivien Tucker is 1821049925. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Where is Vivien Tucker located?

Vivien Tucker practices at 13859 Greenridge Rd, Fayetteville, AR 72701. The listed phone number is (812) 455-8405.

What is Vivien Tucker's specialty?

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

Does Vivien Tucker hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2211170) is associated with this NPI, valid through January 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vivien Tucker accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Vivien Tucker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vivien Tucker was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.